Kirley, Patricia A

Kirley, Patricia A is an individual health care provider with primary practice located at 905 E Geneva St , Delavan WI 53115-1922. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kirley, Patricia A can be contacted via phone (262) 728-1442.

Contact Information

Primary practice address
905 E Geneva St Delavan WI 53115-1922
Phone: (262) 728-1442
Fax: (262) 727-6693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3841-026 Wisconsin

Profile Details

NPI number 1568674729
LBN Legal business name Kirley, Patricia A
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1568674729 NPPES
Wisconsin MEDICAID 40868200

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