Kelly, Michelle J

Kelly, Michelle J is an individual health care provider with primary practice located at 11 Crossroads Ct , Delafield WI 53018-2035. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kelly, Michelle J can be contacted via phone (262) 646-4188.

Contact Information

Primary practice address
11 Crossroads Ct Delafield WI 53018-2035
Fax: (262) 646-4181
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5721-015 Wisconsin

Profile Details

NPI number 1245215920
LBN Legal business name Kelly, Michelle J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 21st, 2022 - about 2 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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