Mackowski, Kelly M

Mackowski, Kelly M is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackowski, Kelly M can be contacted via phone (715) 526-2111.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 526-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9839 Wisconsin

Profile Details

NPI number 1689204075
LBN Legal business name Mackowski, Kelly M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2020
Last updated May 25th, 2022 - 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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