Doll, Kelsey

Doll, Kelsey is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Doll, Kelsey can be contacted via phone (414) 955-1000.

Contact Information

Primary practice address
1155 N Mayfair Rd Wauwatosa WI 53226-3462
Fax: (414) 955-0183
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 180184-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8883 Wisconsin

Profile Details

NPI number 1457839615
LBN Legal business name Doll, Kelsey
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457839615 NPPES
Wisconsin MEDICAID 1457839615

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