Meyer, Kelly M

Meyer, Kelly M is an individual health care provider with primary practice located at 740 Deerwood Ave , Neenah WI 54956. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Meyer, Kelly M can be contacted via phone (920) 751-9600.

Contact Information

Primary practice address
740 Deerwood Ave Neenah WI 54956
Phone: (920) 751-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102201356 Virginia

Profile Details

NPI number 1194709170
LBN Legal business name Meyer, Kelly M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
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 1194709170 NPPES
Virginia Other 39739 OPTIMA HEALTH PROVIDER NO
Virginia Other 100864 OPTIMA HEALTH PROVIDER NO

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