Nelan, Kenneth James
Nelan, Kenneth James is an sole proprietor health care provider with primary practice located at 11514 N Port Washington Rd Ste 101 , Mequon WI 53092-3442. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Nelan, Kenneth James can be contacted via phone (414) 433-9193.Contact Information
Primary practice address
11514 N Port Washington Rd Ste 101
Mequon WI 53092-3442
Phone: (414) 433-9193
Fax: (414) 433-9193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1811342058 |
|---|---|
| LBN Legal business name | Nelan, Kenneth James |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Mar 14th, 2023 - about 2 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 | 1811342058 | NPPES |
| Wisconsin | MEDICAID | 100063661 |
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