NPI Profile for KELLIE DOSSOU HOUEGBE in BROWN DEER, WI.
An individual, often licensed by the state, who is responsible for the management of a nursing home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Home Administrator |
376G00000X | |||
Attendant Care Provider |
3747A0650X | |||
Personal Care Attendant |
3747P1801X |
| NPI # | 1295620490 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/10/2025 | |
| Last updated | 06/10/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KELLIE DOSSOU HOUEGBE
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