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
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 3675-026 | Wisconsin |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528115839 | NPPES |
Wisconsin | MEDICAID | 40835400 |
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