IndividualActive
John Kelly
NPI 1952969826 · Community Health Worker · Wausau, WI
Provider details
- NPI number
- 1952969826
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4048 Crestwood Dr
Wausau, WI 54403-8122
Phone: (715) 370-5646
Approximate (ZIP-level) locationGet directions
Mailing address
4048 Crestwood Dr
Wausau, WI 54403-8122
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2019-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.