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Wendy Carroll Kelly
Student in an Organized Health Care Education/Training Program in Racine, Wisconsin
NPI 1487969291

Wendy Carroll Kelly is a Student in an Organized Health Care Education/Training Program based in Racine, WI. Wendy Carroll Kelly practices in Racine, WI. The NPI Number for Wendy Carroll Kelly is 1487969291 and holds a License No. (Wisconsin).

The current practice location address for Wendy Carroll Kelly is 1320 Wisconsin Ave, Racine, WI and can be reached out via phone at 262-687-2699. You can also correspond with Wendy Carroll Kelly through the mailing address at 1737 PATRIOT WAY, RACINE, WI - 53406-2730 (mailing address contact number: 262-884-7137).

Location: 1320 Wisconsin Ave, Racine, WI, 53406-2730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487969291
Provider Name
Wendy Carroll Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
1320 Wisconsin Ave, Racine, WI, 53406-2730
Phone Number
262-687-2699
Fax Number
Provider Enumeration Date
08/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1320 Wisconsin Ave
City
Racine
State
Wisconsin
Zip
53403-1978
Phone Number
262-687-2699
Fax Number
person
Provider Business Mailing Address Details
Address
1737 Patriot Way
City
Racine
State
Wisconsin
Zip
53406-2730
Phone Number
262-884-7137
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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