Schneider, Kelly

Schneider, Kelly is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105-1828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Schneider, Kelly can be contacted via phone (262) 767-8000.

Contact Information

Primary practice address
248 Mchenry St Burlington WI 53105-1828
Phone: (262) 767-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008980 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2074 Wisconsin

Profile Details

NPI number 1376686006
LBN Legal business name Schneider, Kelly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jan 24th, 2024 - about 11 months 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 1376686006 NPPES
Wisconsin MEDICAID 42898500

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