KIMI MARIE KELLY

GREEN BAY, WI
NPI1346428414
Other NameKIMI MARIE HANSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  383026)
Enumeration Date2008-01-31
Last Update Date2008-01-31
Business Address
-- KIMI MARIE KELLY OT
2661 S BROADWAY
GREEN BAY, WI 54304-5305
Phone number: 920-592-5262
Mailing Address
-- KIMI MARIE KELLY OT
2757 NICOLET DR
GREEN BAY, WI 54311-7219
Phone number: 920-391-1565