KELLY VANDERMUSS, PA-C
Physician Assistant
Active
Individual
NPI: 1760042923
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4704-23 (WI) |
Frequently Asked Questions
NPI 1760042923 is the National Provider Identifier for KELLY VANDERMUSS, PA-C, a Physician Assistant provider located in De Pere, WI. This NPI was enumerated on June 19, 2019.
KELLY VANDERMUSS, PA-C practices at 1381 BRAYDEN LN, De Pere, WI 54115.
Quick Facts
- NPI
- 1760042923
- Type
- Individual
- Enumerated
- Jun 19, 2019
- Last Updated
- Dec 5, 2019
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