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NPI Code Detail

MEDICARE: KELLY MARIE POSTER MS, AT, PES

MEDICARE:   KELLY MARIE POSTER  MS, AT, PES
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
12255A2300XAthletic Trainer1505-39WI

General Provider Information

NPI Number : 1568743078
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY MARIE POSTER MS, AT, PES
Provider Business Mailing Address
First Line : 3553 N OAKLAND AVE
Second Line : APT. 305
City : SHOREWOOD
State : WI
Zip : 53211-2742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3409 N DOWNER AVE
Second Line : SUITE 250
City : MILWAUKEE
State : WI
Zip : 53211
Country : US
Telephone Number : 608-220-0358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2011
Last Update Date : 12/16/2014

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Directions to “ KELLY MARIE POSTER MS, AT, PES” Practice Location

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