Kelm, Susan Kathryn
Kelm, Susan Kathryn is an individual health care provider with primary practice located at 933 Newbury St , Ripon WI 54971-1730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kelm, Susan Kathryn can be contacted via phone (920) 748-9138.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6308 | Wisconsin |
Profile Details
| NPI number | 1891952438 |
|---|---|
| LBN Legal business name | Kelm, Susan Kathryn |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | May 21st, 2008 - about 16 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 | 1891952438 | NPPES |
| Wisconsin | MEDICAID | 40451000 |
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