JOHN KELLY

WAUSAU, WI
NPI1952969826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
JOHN KELLY
4048 CRESTWOOD DR
WAUSAU, WI 54403-8122
Phone number: 715-370-5646
Mailing Address
JOHN KELLY
4048 CRESTWOOD DR
WAUSAU, WI 54403-8122
Phone number: 715-370-5646