Halbach, Kelly Elizabeth

Halbach, Kelly Elizabeth is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Halbach, Kelly Elizabeth can be contacted via phone (920) 433-3500.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4078-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Wisconsin

Profile Details

NPI number 1740718105
LBN Legal business name Halbach, Kelly Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2017
Last updated Dec 27th, 2022 - about 3 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 1740718105 NPPES
Other 1142855 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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