Dr KELLEY L GOSSAGE NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1998.
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
3860 MONROE RD
DE PERE
WI
541158399
Tel: 9204964700
| Npi | 1679598023 |
| Pac Id | 5092730630 |
| Professional Enrollment Id | I20051012000556 |
| Last Name | GOSSAGE |
| First Name | KELLEY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS |
| Group Practice Pac Id | 5799694675 |
| Number Of Group Practice Members | 497 |
| Line 1 Street Address | 3860 MONROE RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DE PERE |
| State | WI |
| Zip Code | 541158399 |
| Phone Number | 9204964700 |
| Hospital Affiliation Ccn 1 | 520075 |
| Hospital Affiliation Lbn 1 | ST VINCENT HOSPITAL |
| Hospital Affiliation Ccn 2 | 521358 |
| Hospital Affiliation Lbn 2 | MINISTRY DOOR COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 520097 |
| Hospital Affiliation Lbn 3 | ST MARY'S HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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