MARY R KELM

FOND DU LAC, WI
NPI1003802331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  16033)
Enumeration Date2005-09-22
Last Update Date2016-03-28
Business Address
-- MARY R KELM NP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8230
Mailing Address
-- MARY R KELM NP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340