Individual provider · Type 1 NPI

Wendy Carroll Kelly

Student in an Organized Health Care Education/Training Program · Racine, WI

NPI number 1487969291 Active

Practice location

1320 Wisconsin Ave
Racine, WI 53403-1978

Call (262) 687-2699 Map

Mailing address

1737 Patriot Way
Racine, WI 53406-2730

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487969291

Wendy Carroll Kelly's National Provider Identifier is 1487969291, issued on Aug 17, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Racine, WI. The record was last updated on Aug 17, 2010.