Kelch, Alicia S
Kelch, Alicia S is an individual health care provider with primary practice located at W156N9000 Pilgrim Rd , Menomonee Falls WI 53051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kelch, Alicia S can be contacted via phone (262) 502-8752.Contact Information
Primary practice address
W156N9000 Pilgrim Rd
Menomonee Falls WI 53051
Phone: (262) 502-8752
Fax: (262) 502-8756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2367-23 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 236723 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA052264 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2367-023 | Wisconsin |
Profile Details
| NPI number | 1942452289 |
|---|---|
| LBN Legal business name | Kelch, Alicia S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2008 |
| Last updated | Apr 1st, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942452289 | NPPES |
| Wisconsin | MEDICAID | 1942452289 | |
| Wisconsin | Other | 1942452289 |
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