Shean, Kelsey L
Shean, Kelsey L is an sole proprietor health care provider with primary practice located at 753 N Main St , Oregon WI 53575-1003. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shean, Kelsey L can be contacted via phone (608) 835-2222.Contact Information
Primary practice address
753 N Main St
Oregon WI 53575-1003
Phone: (608) 835-2222
Fax: (608) 835-1090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.072869 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 77470-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77470-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 77470-20 | Wisconsin |
Profile Details
| NPI number | 1124513767 |
|---|---|
| LBN Legal business name | Shean, Kelsey L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2018 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124513767 | NPPES |
| Wisconsin | MEDICAID | 1124513767 |
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