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Contact Information

KELLY S MACK, APRN BC
6001 RESEARCH PARK BLVD
MADISON, WI53719
 Phone: 608-232-3333
 Fax: 608-231-9011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLY S MACK · (Female)

NPI # 1457471542
Status Active
Credentials APRN BC
Entity Individual
Enumeration date 03/30/2007
Last updated 04/28/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2791033
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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