Davies, Kelly M

Davies, Kelly M is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. 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. Davies, Kelly M can be contacted via phone (920) 926-5386.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-5386
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3173-026 Wisconsin

Profile Details

NPI number 1912948514
LBN Legal business name Davies, Kelly M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 10th, 2007 - about 17 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 1912948514 NPPES
Wisconsin MEDICAID 40808400

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