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Kelly M Mackowski, APNP
Family Nurse Practitioner in Shawano, Wisconsin
NPI 1689204075

Kelly M Mackowski is a Family Nurse Practitioner based in Neenah, WI and is specialized in Family. Kelly M Mackowski practices in Shawano, WI and has the professional credentials of APNP. The NPI Number for Kelly M Mackowski is 1689204075 and holds a License No. 9839 (Wisconsin).

The current practice location address for Kelly M Mackowski is 100 County Road B, Shawano, WI and can be reached out via phone at 715-526-2111.

Location: 100 County Road B, Shawano, WI, 54956-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689204075
Provider Name
Kelly M Mackowski
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
100 County Road B, Shawano, WI, 54956-3070
Phone Number
715-526-2111
Fax Number
Provider Enumeration Date
01/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-526-2111
Fax Number
person
Provider Business Mailing Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-526-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9839 (Wisconsin)
Definition
Definition to come...
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