| Doctor Name: | MISS KELLY NICOLE KALMERTON |
| NPI Number: | 1174830152 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 168135-030 |
| Business Practice Address: | 115 Michaels Ct Apt 7 Mukwonago, WI - 531491175 |
| Business Phone Number: | 9204106719 |
| Business Fax Number: | |
| Mailing Address: | 115 Michaels Ct Apt 7, MUKWONAGO |
| State: | WI |
| Postal Code: | 531491175 |
| Phone Number: | 1904106719 |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2010 |
| NPI Last Update Date: | 09/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 168135-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |