Kelley, Brian Patrick

Kelley, Brian Patrick is an individual health care provider with primary practice located at 6923 W Becher St , West Allis WI 53219-1353. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kelley, Brian Patrick can be contacted via phone (414) 321-0650.

Contact Information

Primary practice address
6923 W Becher St West Allis WI 53219-1353
Phone: (414) 321-0650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5197-015 Wisconsin

Profile Details

NPI number 1366423527
LBN Legal business name Kelley, Brian Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 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 1366423527 NPPES
Wisconsin Other 397627370000 BLUE CROSS/BLUE SHIELD

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