Rosenberger, Kelly D

Rosenberger, Kelly D is an individual health care provider with primary practice located at 1221 E State St , Rockford IL 61104-2231. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Rosenberger, Kelly D can be contacted via phone (815) 972-1000.

Contact Information

Primary practice address
1221 E State St Rockford IL 61104-2231
Phone: (815) 972-1000
Fax: (815) 972-1086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209000443 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209008138 Illinois

Profile Details

NPI number 1790760080
LBN Legal business name Rosenberger, Kelly D
Credentials CNM, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Oct 27th, 2023 - about last year

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 1790760080 NPPES
Illinois Other 209000443 STATE LICENSE

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