Kelly, Colette Marie
Kelly, Colette Marie is an sole proprietor health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelly, Colette Marie can be contacted via phone (262) 767-6545.Contact Information
Primary practice address
252 Mchenry St
Burlington WI 53105-1828
Phone: (262) 767-6545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5576 | Wisconsin |
Profile Details
| NPI number | 1588249718 |
|---|---|
| LBN Legal business name | Kelly, Colette Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2021 |
| Last updated | Jan 25th, 2024 - about 11 months 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 | 1588249718 | NPPES |
| Wisconsin | MEDICAID | 100184144 |
Popular Providers
-
Lange, Andrew
709 Spring Valley Rd , Burlington WI 53105-7614 -
Chucka, Stephanie Diane
252 Mchenry St , Burlington WI 53105-1828 -
Adam, Kora Lane
248 Mchenry St , Burlington WI 53105-1828 -
Goetzke, Katrina
709 Spring Valley Rd , Burlington WI 53105-7614 -
Jorgensen, Stephanie
248 Mchenry St , Burlington WI 53105-1828 -
Gilanyi, Emily Margaret
709 Spring Valley Rd , Burlington WI 53105-7614 -
Schneider, Kelly
248 Mchenry St , Burlington WI 53105-1828 -
Miller, Natalie A
252 Mchenry St , Burlington WI 53105-1828