Individual provider · NPI-1

Kelsey G Alt, PA

Physician Assistant, Medical · Madison, WI

NPI number1366097040
StatusActive
Last updated in NPPESJan 5, 2024

Details

NPI
1366097040
Entity type
Individual (NPI-1)
Name
Kelsey G Alt
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2019
Certification date
Jan 5, 2024
Last updated
Jan 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical4820WIYes
363A00000X Physician Assistant4820WI

Practice location

600 Highland Ave
Madison, WI 53792-3454

Phone 608-263-6400 · Fax 608-234-4383

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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