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Shannon Kelly, MSW
NPI 1043957095 · on the registry since 2022
Practice
- Address
- 650 S Center St
Beaver Dam, WI 53916 - Phone
- (920) 212-7820
- Fax
- (608) 720-1719
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin