Brunson, Kelly Whalen
Brunson, Kelly Whalen is an individual health care provider with primary practice located at 426 Mcmillen St , Fort Atkinson WI 53538-1996. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brunson, Kelly Whalen can be contacted via phone (920) 563-9357.Contact Information
Primary practice address
426 Mcmillen St
Fort Atkinson WI 53538-1996
Phone: (920) 563-9357
Fax: (920) 568-6545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2477-026 | Wisconsin |
Profile Details
| NPI number | 1265452361 |
|---|---|
| LBN Legal business name | Brunson, Kelly Whalen |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 7th, 2010 - about 16 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 | 1265452361 | NPPES |
| Wisconsin | MEDICAID | 41030100 |
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