Kelley, Philip Douglas

Kelley, Philip Douglas is an sole proprietor health care provider with primary practice located at 134 Western Ave , Fond Du Lac WI 54935-4106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as his primary health care specialty. Kelley, Philip Douglas can be contacted via phone (920) 929-3366.

Contact Information

Primary practice address
134 Western Ave Fond Du Lac WI 54935-4106
Fax: (920) 929-6818
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 39901-20 Wisconsin

Profile Details

NPI number 1033565346
LBN Legal business name Kelley, Philip Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2016
Last updated May 5th, 2016 - about 8 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.

Request for update

Popular Providers