Henrickson, Kelly

Henrickson, Kelly is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Infectious Disease, Milwaukee WI 53226-4874. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Henrickson, Kelly can be contacted via phone (414) 337-7070.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Infectious Disease Milwaukee WI 53226-4874
Phone: (414) 337-7070
Fax: (414) 337-7093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 31214 Wisconsin

Profile Details

NPI number 1033161708
LBN Legal business name Henrickson, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 26th, 2014 - about 10 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 1033161708 NPPES
Other 002000198G HUMANA
MEDICAID 1033161708 HUMANA

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