Most Relevant Information
Provider Data
| NPI Number: | 1003382920 |
| Provider Name: | KELSEY KUJELLIS PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 4516 |
Most Important Dates
| Enumeration Date: | 10/18/2018 |
| Last Updated: | 11/22/2021 |
Provider Practice Location
2801 W KINNICKINNIC RIVER PKWY STE 777
MILWAUKEE
WI
532153678
Practice Location Phone/Fax
| Phone: | 4146493370 |
| Fax: |
Provider Mailing Location
2801 W KINNICKINNIC RIVER PKWY STE 777
MILWAUKEE
WI
532153678
Provider Mailing Phone/Fax
| Phone: | 4146493370 |
| Fax: |