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Kelly S Thayer, APNP
Family Nurse Practitioner in Tomah, Wisconsin
NPI 1780748343

Kelly S Thayer is a Family Nurse Practitioner based in Tomah, WI and is specialized in Family. Kelly S Thayer practices in Tomah, WI and has the professional credentials of APNP. The NPI Number for Kelly S Thayer is 1780748343 and holds a License No. 2899 (Wisconsin).

The current practice location address for Kelly S Thayer is 501 Gopher Dr, Tomah, WI and can be reached out via phone at 608-372-2181.

Location: 501 Gopher Dr, Tomah, WI, 54660-4513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780748343
Provider Name
Kelly S Thayer
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
501 Gopher Dr, Tomah, WI, 54660-4513
Phone Number
608-372-2181
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
501 Gopher Dr
City
Tomah
State
Wisconsin
Zip
54660-4513
Phone Number
608-372-2181
Fax Number
person
Provider Business Mailing Address Details
Address
501 Gopher Dr
City
Tomah
State
Wisconsin
Zip
54660-4513
Phone Number
608-372-2181
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2899 (Wisconsin)
Definition
Definition to come...
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