PHILIP DOUGLAS KELLEY

FOND DU LAC, WI
NPI1033565346
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZF0201X Pathology, Forensic Pathology
(Licence: WI  39901-20)
Enumeration Date2016-05-05
Last Update Date2016-05-05
Business Address
Dr. PHILIP DOUGLAS KELLEY M.D.
134 WESTERN AVE
FOND DU LAC, WI 54935-4106
Phone number: 920-929-3366
Mailing Address
Dr. PHILIP DOUGLAS KELLEY M.D.
134 WESTERN AVE
FOND DU LAC, WI 54935-4106
Phone number: 920-929-3366
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