Anderson, Kelley
Anderson, Kelley is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Anderson, Kelley can be contacted via phone (715) 387-5845.Contact Information
Primary practice address
1000 N Oak Ave
Marshfield WI 54449-5777
Phone: (715) 387-5845
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 42719 | Wisconsin |
Profile Details
| NPI number | 1700996238 |
|---|---|
| LBN Legal business name | Anderson, Kelley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700996238 | NPPES |
| Wisconsin | MEDICAID | 34028900 |
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