Wasmuth, Kelsy Brikay
Wasmuth, Kelsy Brikay is an individual health care provider with primary practice located at 6810 State Route 162 Ste 100 , Maryville IL 62062-8560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wasmuth, Kelsy Brikay can be contacted via phone (618) 288-3616.Contact Information
Primary practice address
6810 State Route 162 Ste 100
Maryville IL 62062-8560
Phone: (618) 288-3616
Fax: (618) 288-3647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209016647 | Illinois |
Profile Details
| NPI number | 1336659838 |
|---|---|
| LBN Legal business name | Wasmuth, Kelsy Brikay |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2017 |
| Last updated | Feb 24th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336659838 | NPPES |
| Illinois | Other | 209016647 | LICENSE |
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