Omsberg, Kelly A

Omsberg, Kelly A is an individual health care provider with primary practice located at 27650 Ferry Rd Suite 100, Warrenville IL 60555-3845. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Omsberg, Kelly A can be contacted via phone (630) 225-2663.

Contact Information

Primary practice address
27650 Ferry Rd Suite 100 Warrenville IL 60555-3845
Phone: (630) 225-2663
Fax: (630) 225-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002905 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-002905 Illinois

Profile Details

NPI number 1144352899
LBN Legal business name Omsberg, Kelly A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jun 23rd, 2014 - about 10 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 1144352899 NPPES
Illinois Other P01126498 RR MEDICARE

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