Brown, Kellie R

Brown, Kellie R is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Division Of Vascular Surgery, Milwaukee WI 53226-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Brown, Kellie R can be contacted via phone (414) 805-6000.

Contact Information

Primary practice address
9200 W Wisconsin Ave Division Of Vascular Surgery Milwaukee WI 53226-3522
Phone: (414) 805-6000
Fax: (414) 805-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 39719 Wisconsin

Profile Details

NPI number 1154375400
LBN Legal business name Brown, Kellie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 8th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154375400 NPPES
Other 005000261X HUMANA
MEDICAID 1154375400 HUMANA

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