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NPI Code Detail

MEDICARE: KELLY ROJAS

MEDICARE:   KELLY  ROJAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor6414-12WI

General Provider Information

NPI Number : 1275467763
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ROJAS
Provider Business Mailing Address
First Line : W354N5985 LISBON RD
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-2421
Country : US
Telephone Number : 262-266-0368
Fax Number :
Provider Business Practice Location Address
First Line : 16645 W GREENFIELD AVE STE D
Second Line :
City : NEW BERLIN
State : WI
Zip : 53151-1546
Country : US
Telephone Number : 262-788-5940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ KELLY ROJAS ” Practice Location

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