Comp, Kelly C
Comp, Kelly C is an individual health care provider with primary practice located at 10701 W Research Dr , Wauwatosa WI 53226-3452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Comp, Kelly C can be contacted via phone (414) 443-4801.Contact Information
Primary practice address
10701 W Research Dr
Wauwatosa WI 53226-3452
Phone: (414) 443-4801
Fax: (855) 221-4968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2186-033 | Wisconsin |
Profile Details
| NPI number | 1508042318 |
|---|---|
| LBN Legal business name | Comp, Kelly C |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Dec 6th, 2023 - about last year |
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 | 1508042318 | NPPES |
| Wisconsin | MEDICAID | 100033061 |
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