Chansky, Kelly Ann

Chansky, Kelly Ann is an individual health care provider with primary practice located at 4103 60Th St , Kenosha WI 53144-2509. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Chansky, Kelly Ann can be contacted via phone (262) 652-1111.

Contact Information

Primary practice address
4103 60Th St Kenosha WI 53144-2509
Phone: (262) 652-1111
Fax: (262) 652-1124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3534-026 Wisconsin

Profile Details

NPI number 1114065422
LBN Legal business name Chansky, Kelly Ann
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Aug 21st, 2013 - about 12 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 1114065422 NPPES
Wisconsin MEDICAID 41040200

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