Kelly Pucillo, MD

FAMILY PRACTICE

710 Riverside Dr

Waupaca, WI 549811941

(715) 256-3000

**NPI:** 1548200595

**Med School:** MEDICAL COLLEGE OF WISCONSIN

**Experience:** 20 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

THEDACARE INCORPORATED

710 Riverside Dr
Waupaca, WI 549811941

Phone: (715) 256-3000

**Group ID:** 1759294887 | **Group Size:** 533 members

THEDACARE REGIONAL MED CTR - NEENAH Type: Hospital
130 2ND ST
Phone: (920) 729-3100
Medicare CCN: 520045 View Profile

THEDACARE MEDICAL CENTER-WAUPACA Type: Hospital
800 RIVERSIDE DRIVE
Phone: (715) 258-1000
Medicare CCN: 521334 View Profile

Hospice Type: Hospice
Medicare CCN: 521504 View Profile

Nursing home Type: Nursing home
Medicare CCN: 525718 View Profile

Home health agency Type: Home health agency
Medicare CCN: 527010 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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