Reilly, Kathy Helen
Reilly, Kathy Helen is an individual health care provider with primary practice located at 721 American Avenue Suite 304, Waukesha WI 53188. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Reilly, Kathy Helen can be contacted via phone (262) 549-2229.Contact Information
Primary practice address
721 American Avenue Suite 304
Waukesha WI 53188
Phone: (262) 549-2229
Fax: (262) 549-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 528 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 65990-30 | Wisconsin |
Profile Details
| NPI number | 1306802723 |
|---|---|
| LBN Legal business name | Reilly, Kathy Helen |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Feb 23rd, 2012 - about 12 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 | 1306802723 | NPPES |
| Wisconsin | MEDICAID | 43930100 |
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