Mathes, Kelly A
Mathes, Kelly A is an individual health care provider with primary practice located at 333 N Green Bay Rd , Neenah WI 54956-1954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mathes, Kelly A can be contacted via phone (920) 729-6088.Contact Information
Primary practice address
333 N Green Bay Rd
Neenah WI 54956-1954
Phone: (920) 729-6088
Fax: (920) 729-6484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 67780-21 | Wisconsin |
Profile Details
| NPI number | 1427462985 |
|---|---|
| LBN Legal business name | Mathes, Kelly A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2014 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427462985 | NPPES |
| Wisconsin | MEDICAID | 100070814 | |
| Wisconsin | Other | 1044793358 |
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