Kylee Belan, LPN

Individual provider Active NPI Licensed Practical Nurse · Marathon, WI

NPI 1356069694 · NPPES record last updated Aug 22, 2022

Key facts

NPI
1356069694
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
327572 (WI)
Practice address
218470 Maple Leaf Rd
Marathon, WI 54448-5516
Phone
(715) 680-8691
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
327572WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 327572 WI Yes

Addresses

Primary practice location

218470 Maple Leaf Rd
Marathon, WI 54448-5516

Mailing address

218470 Maple Leaf Rd
Marathon, WI 54448-5516
Phone (715) 680-8691

Other providers in Marathon, WI

All providers in Marathon, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.