Hafemann, Kalyn R.
Hafemann, Kalyn R. is an individual health care provider with primary practice located at 788 N. Jefferson Street Suite 401, Milwaukee WI 53202-3710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hafemann, Kalyn R. can be contacted via phone (414) 226-4020.Contact Information
Primary practice address
788 N. Jefferson Street Suite 401
Milwaukee WI 53202-3710
Phone: (414) 226-4020
Fax: (414) 225-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1288 | Wisconsin |
Profile Details
| NPI number | 1881661577 |
|---|---|
| LBN Legal business name | Hafemann, Kalyn R. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Nov 9th, 2016 - about 10 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 | 1881661577 | NPPES |
| Wisconsin | MEDICAID | 1881661577 |
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