Kelley, William Bernard
Kelley, William Bernard is an individual health care provider with primary practice located at 6001 W Center St Suite #108, Milwaukee WI 53210-2154. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kelley, William Bernard can be contacted via phone (414) 442-1380.Contact Information
Primary practice address
6001 W Center St Suite #108
Milwaukee WI 53210-2154
Phone: (414) 442-1380
Fax: (414) 442-1418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 16812 | Wisconsin |
Profile Details
| NPI number | 1770555401 |
|---|---|
| LBN Legal business name | Kelley, William Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1770555401 | NPPES |
| Wisconsin | MEDICAID | 30878800 |
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