SearchWisconsin311ZA0620X

Kelly Scroggins

NPI 1992595318 · on the registry since 2025 · sole proprietor

Practice

Address
2501 Jean Ave
Racine, WI 53404
Phone
(262) 744-5362
Fax
(262) 744-5362

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-08

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