Ketelhut, Shelly Lynn

Ketelhut, Shelly Lynn is an sole proprietor health care provider with primary practice located at 1936B Algoma Blvd , Oshkosh WI 54901-2104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ketelhut, Shelly Lynn can be contacted via phone (920) 232-0208.

Contact Information

Primary practice address
1936B Algoma Blvd Oshkosh WI 54901-2104
Phone: (920) 232-0208
Fax: (844) 270-4612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4498-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15566-130 Wisconsin

Profile Details

NPI number 1184871378
LBN Legal business name Ketelhut, Shelly Lynn
Credentials MSE, NCC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Oct 8th, 2021 - about 3 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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