Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN KELLY
ActiveJOHN KELLY is a Community Health Worker healthcare provider located in WAUSAU, Wisconsin. NPI 1952969826 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WAUSAU, WI
Registration Details
- NPI Number
- 1952969826
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2019 (7.2201204931924 yrs)
- Last Updated
- Jun 4, 2019
Practice Information
- Address
-
4048 CRESTWOOD DRWAUSAU, WI, 544038122Browse WI providers · Browse ZIP 54403
- Phone
- 7153705646
- Primary Specialty
-
Community Health Worker
172V00000X
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.