Individual provider · Type 1 NPI

Colleen Elizabeth Kelly, MPAS, PA-C

Medical Physician Assistant · Milwaukee, WI

NPI number 1417059296 Active

Practice location

5000 W National Ave
Milwaukee, WI 53295-0001

Call (414) 384-2000 Map

Fax (414) 389-4134

Mailing address

65 E Fieldstone Cir Apt 2
Oak Creek, WI 53154-2185

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1417059296

Colleen Elizabeth Kelly, MPAS, PA-C's National Provider Identifier is 1417059296, issued on Sep 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.