Kelly Marie Gallois Larson
NP | Nurse Practitioner
116 N Dodge St, Burlington
Wisconsin, 53105-1963
414-773-4312
Kelly Marie Gallois Larson is a Burlington, Wisconsin based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Kelly Marie Gallois Larson is 13310 for Psych/Mental Health NP in Wisconsin. Her current practice location is 116 N Dodge St, Burlington. Patients can reach her at 414-773-4312. Kelly Marie Gallois Larson is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1467169276.
Kelly Marie Gallois Larson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Marie Gallois Larson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Marie Gallois Larson |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 116 N Dodge St, Burlington,
Wisconsin, 53105-1963 |
| Phone: | 414-773-4312 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1467169276 |
| NPI Enumeration Date: | 01 Nov, 2022 |
| NPI Last Update On: | 15 Dec, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Marie Gallois Larson are as mentioned below.
| License Number | Specialization | State | Status | |
| 13310 | Psych/Mental Health NP | Wisconsin | Primary | |
| 13310 | Nurse Practitioner | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Marie Gallois Larson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100222156 | Medicaid | Wisconsin | |
| 100222026 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Marie Gallois Larson
Po Box 735044,
Chicago, Illinois |
| Zip: | 60673-5044 |
| Phone Number: | 800-326-2250 |
Patients can reach Kelly Marie Gallois Larson at
116 N Dodge St, Burlington, Wisconsin or can
call to book an appointment on 414-773-4312.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.