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NPI Profile for KENNETH J NELAN in MEQUON, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X |
| NPI # | 1811342058 |
|
| Status | Active | |
| Credentials | MS | |
| Entity | Individual | |
| Enumeration date | 04/25/2016 | |
| Last updated | 03/14/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENNETH J NELAN
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KENNETH J NELAN, MS