Eells, Kelly R

Eells, Kelly R is an individual health care provider with primary practice located at 2223 Lime Kiln Rd , Green Bay WI 54311-6213. 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. Eells, Kelly R can be contacted via phone (920) 430-8120.

Contact Information

Primary practice address
2223 Lime Kiln Rd Green Bay WI 54311-6213
Phone: (920) 430-8120
Fax: (920) 965-7418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1506 Wisconsin

Profile Details

NPI number 1487603593
LBN Legal business name Eells, Kelly R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated May 11th, 2011 - about 13 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 1487603593 NPPES
Wisconsin MEDICAID 43911000

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