Fecker, Kelle

Fecker, Kelle is an individual health care provider with primary practice located at 425 Pine Ridge Blvd Ste 211, Wausau WI 54401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fecker, Kelle can be contacted via phone (715) 845-5505.

Contact Information

Primary practice address
425 Pine Ridge Blvd Ste 211 Wausau WI 54401
Phone: (715) 845-5505
Fax: (715) 848-2884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 145896030 Wisconsin

Profile Details

NPI number 1962444265
LBN Legal business name Fecker, Kelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 22nd, 2010 - about 14 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 1962444265 NPPES
Wisconsin Other 88792 SECURITY HEALTH PLAN
Wisconsin Other SWOPE SECURITY HEALTH PLAN
Wisconsin Other 44326600 SECURITY HEALTH PLAN
Wisconsin Other 391330887 SECURITY HEALTH PLAN
Wisconsin Other 003921305 SECURITY HEALTH PLAN
Wisconsin MEDICAID 44326600 SECURITY HEALTH PLAN
Wisconsin Other P00088510 SECURITY HEALTH PLAN
Wisconsin Other 88792 SECURITY HEALTH PLAN

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