Farnsworth, Kelley E
Farnsworth, Kelley E is an individual health care provider with primary practice located at 960 N 12Th St Suite 1800, Milwaukee WI 53233-1306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Farnsworth, Kelley E can be contacted via phone (414) 278-9000.Contact Information
Primary practice address
960 N 12Th St Suite 1800
Milwaukee WI 53233-1306
Phone: (414) 278-9000
Fax: (414) 278-9005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1051-023 | Wisconsin |
Profile Details
| NPI number | 1720026339 |
|---|---|
| LBN Legal business name | Farnsworth, Kelley E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Oct 24th, 2007 - about 19 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 | 1720026339 | NPPES |
| Wisconsin | MEDICAID | 42982600 |
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