Vandermuss, Kelly Rae
Vandermuss, Kelly Rae is an individual health care provider with primary practice located at 1381 Brayden Ln , De Pere WI 54115-9249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vandermuss, Kelly Rae can be contacted via phone (920) 664-3734.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4704-23 | Wisconsin |
Profile Details
| NPI number | 1760042923 |
|---|---|
| LBN Legal business name | Vandermuss, Kelly Rae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2019 |
| Last updated | Dec 5th, 2019 - about 5 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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