person
Kelly Theodore, PMHNP,FNP
Psychiatric/Mental Health Nurse Practitioner in Milwaukee, Wisconsin
NPI 1821472226

Kelly Theodore is a Psychiatric/Mental Health Nurse Practitioner based in Bayside, WI and is specialized in Psychiatric/Mental Health. Kelly Theodore practices in Milwaukee, WI and has the professional credentials of PMHNP,FNP. The NPI Number for Kelly Theodore is 1821472226 and holds a License No. 6467-33 (Wisconsin).

The current practice location address for Kelly Theodore is 930 E Knapp St, Milwaukee, WI and can be reached out via phone at 414-671-9355 and via fax at 888-376-4067.

Location: 930 E Knapp St, Milwaukee, WI, 53217-1336
person
Provider Profile Details
NPI Number
1821472226
Provider Name
Kelly Theodore
Credential
PMHNP,FNP
Provider Entity Type
Individual
Gender
Female
Address
930 E Knapp St, Milwaukee, WI, 53217-1336
Phone Number
414-671-9355
Fax Number
888-376-4067
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
930 E Knapp St
City
State
Zip
53202
Phone Number
414-671-9355
Fax Number
888-376-4067
person
Provider Business Mailing Address Details
Address
930 E Knapp St
City
State
Zip
53202
Phone Number
414-671-9355
Fax Number
888-376-4067
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
6467 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
6467-33 (Wisconsin)
Definition
Definition to come...
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