Kegley, Jennifer L

Kegley, Jennifer L is an sole proprietor health care provider with primary practice located at 5219 88Th Ave , Kenosha WI 53144-7468. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kegley, Jennifer L can be contacted via phone (262) 653-0850.

Contact Information

Primary practice address
5219 88Th Ave Kenosha WI 53144-7468
Fax:
Website:

Health care specialties

Profile Details

NPI number 1528115839
LBN Legal business name Kegley, Jennifer L
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 9th, 2007 - about 17 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 1528115839 NPPES
Wisconsin MEDICAID 40835400

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