| Doctor Name: | MS. KELLIE ANN STECKBAUER |
| NPI Number: | 1033586565 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN |
| License Number: | 224896-30 |
| Business Practice Address: | 2743 Kegonsa Rd Stoughton, WI - 535893354 |
| Business Phone Number: | 6087199214 |
| Business Fax Number: | |
| Mailing Address: | 2743 Kegonsa Rd, STOUGHTON |
| State: | WI |
| Postal Code: | 535893354 |
| Phone Number: | 6087199214 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 224896-30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |