Individual provider · Type 1 NPI

Kelly Benedum

Specialist · Sussex, WI

NPI number 1851215586 Active

Practice location

N56W26530 Richmond Rd
Sussex, WI 53089-4299

Call (262) 538-1360 Map

Mailing address

315 Westrock Blvd Unit 102
Hartland, WI 53029-2923

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1851215586

Kelly Benedum's National Provider Identifier is 1851215586, issued on Aug 6, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sussex, WI. The record was last updated on Aug 6, 2026.