Individual provider · NPI-1
Dr. Kelly Michelle Collins, MD
Transplant Surgery · Madison, WI
NPI number1306018023
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1306018023
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Michelle Collins
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2008
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | 22712 | WI | Yes |
| 208600000X | Surgery | 2013011930 | MO |
Practice location
600 Highland AveMadison, WI 53792-1032
Phone 608-263-1384
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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