Individual provider · Type 1 NPI
Kelly Rae Vandermuss, PA-C
Physician Assistant · De Pere, WI
Practice location
1381 Brayden Ln
De Pere, WI 54115-9249
Mailing address
2502 S Ashland Ave
Green Bay, WI 54304-5252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 4704-23 (WI) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1760042923
Kelly Rae Vandermuss, PA-C's National Provider Identifier is 1760042923, issued on Jun 19, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in De Pere, WI. The record was last updated on Dec 5, 2019.