Villa, Kelly

Villa, Kelly is an individual health care provider with primary practice located at 13111 N Port Washington Rd , Mequon WI 53097-2416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Villa, Kelly can be contacted via phone (414) 243-7300.

Contact Information

Primary practice address
13111 N Port Washington Rd Mequon WI 53097-2416
Phone: (414) 243-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3589-033 Wisconsin
Other Service Providers / Midwife 176B00000X 148827-032 Wisconsin

Profile Details

NPI number 1184875494
LBN Legal business name Villa, Kelly
Credentials CNM, NP, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2008
Last updated Mar 22nd, 2012 - about 12 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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