Kelley, Molly

Kelley, Molly is an individual health care provider with primary practice located at 2880 University Ave , Madison WI 53705-3644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Kelley, Molly can be contacted via phone (608) 332-6676.

Contact Information

Primary practice address
2880 University Ave Madison WI 53705-3644
Phone: (608) 332-6676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1646-33 Wisconsin

Profile Details

NPI number 1871795583
LBN Legal business name Kelley, Molly
Credentials BSN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Feb 17th, 2021 - about 4 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 1871795583 NPPES
Wisconsin MEDICAID 43917900

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