Balliet, Kelly A

Balliet, Kelly A is an sole proprietor health care provider with primary practice located at 5200 Chambers St Josephs Hospital, Milwaukee WI 53200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Balliet, Kelly A can be contacted via phone (414) 447-2171.

Contact Information

Primary practice address
5200 Chambers St Josephs Hospital Milwaukee WI 53200
Phone: (414) 447-2171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 30648020 Wisconsin

Profile Details

NPI number 1699766063
LBN Legal business name Balliet, Kelly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1699766063 NPPES
Wisconsin Other 30648 TOUCHPOINT
Wisconsin Other 13860 TOUCHPOINT
Wisconsin MEDICAID 31768000 TOUCHPOINT
Wisconsin Other P00230317 TOUCHPOINT

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