Slattery, Keighla L

Slattery, Keighla L is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Slattery, Keighla L can be contacted via phone (414) 805-3310.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-3310
Fax: (414) 805-3885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 223134-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 223134 Wisconsin

Profile Details

NPI number 1174182885
LBN Legal business name Slattery, Keighla L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Aug 7th, 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 1174182885 NPPES
Wisconsin MEDICAID 1174182885

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