Individual provider · Type 1 NPI

Kelly M. Mackowski, APNP

Family Nurse Practitioner · Shawano, WI

NPI number 1689204075 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 1818 N Meade St Ste 130, Appleton, WI 54911-3454 · (920) 831-1841
  • 800 Riverside Dr, Waupaca, WI 54981-1943 · (715) 258-1000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9839 (WI)

Family Nurse Practitioner: Definition to come...

108 other providers at this address

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About NPI 1689204075

Kelly M. Mackowski, APNP's National Provider Identifier is 1689204075, issued on Jan 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shawano, WI. The record was last updated on May 25, 2022.