Toijala, Kelly Rae

Toijala, Kelly Rae is an individual health care provider with primary practice located at 1620 Mehta Ln , Fort Atkinson WI 53538-9178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Toijala, Kelly Rae can be contacted via phone (920) 563-5544.

Contact Information

Primary practice address
1620 Mehta Ln Fort Atkinson WI 53538-9178
Fax: (920) 563-8884
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2304 Wisconsin

Profile Details

NPI number 1013171727
LBN Legal business name Toijala, Kelly Rae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated May 2nd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013171727 NPPES
Wisconsin MEDICAID 43023800

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