KELLY C EVANS

Dr KELLY C EVANS is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1994 from University Of Missouri, Kansas City, School Of Medicine.

Contact

2714 STEWART AVE
WAUSAU
WI
544014153

Tel:

KELLY C EVANS Information

Npi 1720165251
Pac Id 2769554419
Professional Enrollment Id I20080711000561
Last Name EVANS
First Name KELLY
Middle Name C
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 2714 STEWART AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WAUSAU
State WI
Zip Code 544014153
Phone Number
Hospital Affiliation Ccn 1
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Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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