Kelsey Moon's National Provider Identifier (NPI) Details
Kelsey Moon, MA, LPC-IT
NPI: 1891385266
Enumeration Date: 2021-01-20
Last updated: 2021-01-20
Sole Proprietor: NO
Status: active
Postal Address: W7327 ANDERSON AVE, SHAWANO, WI
Phone: 715-526-4700
Primary Practice Address: W7327 ANDERSON AVE, SHAWANO, WI
Practice's phone: 715-524-6882