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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY FLACK, APNP

Active Sole Proprietor

KELLY FLACK, APNP is a Nurse Practitioner healthcare provider located in OSHKOSH, Wisconsin. NPI 1720601297 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · OSHKOSH, WI

Registration Details

NPI Number
1720601297
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2020 (6.2551170134062 yrs)
Last Updated
Nov 18, 2021
Licenses
177650-30 (WI)
10176-33 (WI)
10176-33 (WI)
Sole Proprietor
Yes

Practice Information

Address
855 N WESTHAVEN DR
OSHKOSH, WI, 549047668
Browse WI providers · Browse ZIP 54904
Phone
9200338700
Fax
9204565901
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in OSHKOSH, WI

Name Credential NPI
MRS. GLADYS BETH MICHAELSON APNP 1205828654
NANCY BOWENS APNP 1932196524
JILLEEN L NEUMANN NP 1619964541
JOHN WILLIAM POSS NP 1578551172
XING KONG NP 1003896093
MARIAREVE RUCINSKI ANP 1124084355
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.