NPI 1104557404

Kelly Erin McClanahan, CAA

Practitioner Anesthesiologist Assistant Madison, WI

Practice location

Address: 600 Highland Ave, Madison, WI 53792-0001
Phone: (608) 263-8100
Fax: (608) 262-6247
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 501-17 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Registry record

NPI: 1104557404
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2022
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.