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Kellie A Backman, APNP
Family Nurse Practitioner in Onalaska, Wisconsin
NPI 1639171895

Kellie A Backman is a Family Nurse Practitioner based in La Crosse, WI and is specialized in Family. Kellie A Backman practices in Onalaska, WI and has the professional credentials of APNP. The NPI Number for Kellie A Backman is 1639171895 and holds a License No. 7082 (Wisconsin).

The current practice location address for Kellie A Backman is 3111 Gundersen Dr, Onalaska, WI and can be reached out via phone at 608-775-8630.

Location: 3111 Gundersen Dr, Onalaska, WI, 54601-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639171895
Provider Name
Kellie A Backman
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
3111 Gundersen Dr, Onalaska, WI, 54601-5429
Phone Number
608-775-8630
Fax Number
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43870600 05 WI
institution
Provider Business Practice Location Address Details
Address
3111 Gundersen Dr
City
Onalaska
State
Wisconsin
Zip
54650-8447
Phone Number
608-775-8630
Fax Number
person
Provider Business Mailing Address Details
Address
3111 Gundersen Dr
City
Onalaska
State
Wisconsin
Zip
54650-8447
Phone Number
608-775-8630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1171 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
7082 (Minnesota)
Definition
Definition to come...
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