The Kelley Clinic
LBN: The Kelley Clinic
The Kelley Clinic is an health care organization with primary practice located at 1216 N Prospect Ave , Milwaukee WI 53202-3014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
The Kelley Clinic can be contacted via phone (414) 271-9272, or through Kelley, Jane via phone (414) 271-9272.
Contact Information
Primary practice address
1216 N Prospect Ave
Milwaukee WI 53202-3014
Phone: (414) 271-9272
Fax: (414) 271-1299
Website:
Authorized official contact:
Name: Kelley, Jane Licensed Clinical Social Worker (LCSW)
Phone: (414) 271-9272
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Wisconsin |
Profile Details
| NPI number | 1265657704 |
|---|---|
| LBN Legal business name | The Kelley Clinic |
| DBA Doing business as | |
| Authorized official | Kelley, Jane Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Apr 20th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265657704 | NPPES |
| Wisconsin | Other | 000044264 | MEDICARE NUMBER |
| Wisconsin | Other | 281076 | MEDICARE NUMBER |
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