Dassow, Kelly Theresia

Dassow, Kelly Theresia is an individual health care provider with primary practice located at 4100 State Highway 66 , Stevens Point WI 54482-8410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dassow, Kelly Theresia can be contacted via phone (715) 997-6000.

Contact Information

Primary practice address
4100 State Highway 66 Stevens Point WI 54482-8410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13193 Wisconsin

Profile Details

NPI number 1184359499
LBN Legal business name Dassow, Kelly Theresia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2022
Last updated Feb 28th, 2024 - about 2 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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