Search › Wisconsin › 363A00000X
Kelly Vandermuss, PA-C
NPI 1760042923 · on the registry since 2019
Practice
- Address
- 1381 Brayden Ln
De Pere, WI 54115 - Phone
- (920) 664-3734
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-05
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