IndividualActive
Kellie Walker, RN
NPI 1083398929 · Medical-Surgical Registered Nurse · Lake Nebagamon, WI
Provider details
- NPI number
- 1083398929
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 195210-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
6832 S East Lake Blvd
Lake Nebagamon, WI 54849-9107
Phone: (218) 355-8268
Approximate (ZIP-level) locationGet directions
Mailing address
6832 S East Lake Blvd
Lake Nebagamon, WI 54849-9107
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.