| Doctor Name: | DR. KELLI LOUISE SASADA |
| NPI Number: | 1265698690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD60215747 |
| Business Practice Address: | 9555 76th St Suite 4105 Pleasant Prairie, WI - 531581984 |
| Business Phone Number: | 2625778080 |
| Business Fax Number: | 2625778081 |
| Mailing Address: | 9555 76th St, Suite 4105 PLEASANT PRAIRIE |
| State: | WI |
| Postal Code: | 531581984 |
| Phone Number: | 2625778080 |
| Fax Number: | 2625778081 |
| NPI Enumeration Date: | 08/05/2008 |
| NPI Last Update Date: | 08/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD60215747 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |