Konesko, Kelly

Konesko, Kelly is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Konesko, Kelly can be contacted via phone (262) 884-8340.

Contact Information

Primary practice address
8400 Washington Ave Mount Pleasant WI 53406-3735
Phone: (262) 884-8340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1512 Wisconsin

Profile Details

NPI number 1588655351
LBN Legal business name Konesko, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Feb 1st, 2024 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588655351 NPPES
Wisconsin Other P00989255 RR MEDICARE
Wisconsin MEDICAID 43913500 RR MEDICARE

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