John Kelly
John Kelly is a Community Health Worker in Wausau, Wisconsin. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
4048 Crestwood DrWausau, WI 54403-8122
Phone: (715) 370-5646
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1952969826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2019 |
| Last updated in NPPES | June 4, 2019 |
| Mailing address | 4048 Crestwood Dr, Wausau, WI 54403-8122 |