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Search › Wisconsin › 363L00000X

Kelli Frederickson, NP-C

NPI 1659777332 · on the registry since 2014

Practice

Address
2845 Greenbrier Rd
Green Bay, WI 54311
Phone
(920) 288-8300
Fax
(920) 288-8305
Organisation at this address
Baycare Clinic Llp
Aurora Pharmacy Inc
Baycare Aurora, Llc
Baycare Aurora, Llc
Baycare Aurora, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
519

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-20

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