Cullen, Kelly Ann

Cullen, Kelly Ann is an individual health care provider with primary practice located at 111 E Wisconsin Ave Suite 2000, Milwaukee WI 53202-4815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Cullen, Kelly Ann can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
111 E Wisconsin Ave Suite 2000 Milwaukee WI 53202-4815
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44859-021 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036101865 Illinois

Profile Details

NPI number 1295792711
LBN Legal business name Cullen, Kelly Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Nov 15th, 2022 - about 4 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 1295792711 NPPES
Illinois MEDICAID 036101865
Illinois MEDICAID 43509700
Illinois Other 930093591

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