Pellicano, Kaitlin

Pellicano, Kaitlin is an sole proprietor health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pellicano, Kaitlin can be contacted via phone (262) 741-2121.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 76460-20 Wisconsin

Profile Details

NPI number 1700414091
LBN Legal business name Pellicano, Kaitlin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Jul 28th, 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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