Search › Wisconsin › 363LF0000X
Kellie Backman, APNP
NPI 1639171895 · on the registry since 2005
Practice
- Address
- 3111 Gundersen Dr
Onalaska, WI 54650 - Phone
- (608) 775-8630
- Organisation at this address
- Gundersen Clinic Ltd
Gundersen Clinic, Ltd.
Gundersen Lutheran Medical Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 124
Additional practice sites
- 1122 W Highway 61, Winona, MN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363LP0200X - Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-06
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