Kelly, Adam Christopher

Kelly, Adam Christopher is an individual health care provider with primary practice located at 36500 Aurora Dr Department Of Pediatrics- Neonatal Icu, Summit WI 53066-4899. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kelly, Adam Christopher can be contacted via phone (262) 434-4900.

Contact Information

Primary practice address
36500 Aurora Dr Department Of Pediatrics- Neonatal Icu Summit WI 53066-4899
Phone: (262) 434-4900
Fax: (262) 434-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2363-23 Wisconsin

Profile Details

NPI number 1891974218
LBN Legal business name Kelly, Adam Christopher
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Nov 26th, 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 1891974218 NPPES
Wisconsin Other 2363-23 WISCONSIN LICENSE

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