Geller, Kenneth A

Geller, Kenneth A is an individual health care provider with primary practice located at 1506 S Oneida St , Appleton WI 54915-1305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Geller, Kenneth A can be contacted via phone (920) 730-6700.

Contact Information

Primary practice address
1506 S Oneida St Appleton WI 54915-1305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20142 Wisconsin

Profile Details

NPI number 1356335350
LBN Legal business name Geller, Kenneth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 18th, 2010 - about 12 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 1356335350 NPPES
Wisconsin MEDICAID 31232700

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