Thayer, Kelly S

Thayer, Kelly S is an individual health care provider with primary practice located at 501 Gopher Dr , Tomah WI 54660-4513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thayer, Kelly S can be contacted via phone (608) 372-2181.

Contact Information

Primary practice address
501 Gopher Dr Tomah WI 54660-4513
Phone: (608) 372-2181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2899 Wisconsin

Profile Details

NPI number 1780748343
LBN Legal business name Thayer, Kelly S
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 19th, 2021 - about 4 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.

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