Fehrenbacher, Kelly Janell

Fehrenbacher, Kelly Janell is an individual health care provider with primary practice located at 1111 W Wisconsin St , Sparta WI 54656-2233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Fehrenbacher, Kelly Janell can be contacted via phone (608) 269-6731.

Contact Information

Primary practice address
1111 W Wisconsin St Sparta WI 54656-2233
Phone: (608) 269-6731
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 48684 Wisconsin
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 48684-20 Wisconsin

Profile Details

NPI number 1831157114
LBN Legal business name Fehrenbacher, Kelly Janell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 24th, 2020 - about 5 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 1831157114 NPPES
Wisconsin Other FEHREKEL MERCYCARE INSURANCE
Wisconsin Other 1831157114 MERCYCARE INSURANCE
Wisconsin MEDICAID 1831157114 MERCYCARE INSURANCE

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