SearchWisconsin224Z00000X

Kelly Small

NPI 1649449588 · on the registry since 2008 · sole proprietor

Practice

Address
819 East St
Baraboo, WI 53913
Phone
(682) 553-8393

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-25

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