Hodges, Kelly L

Hodges, Kelly L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Division Of Child Protection, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Hodges, Kelly L can be contacted via phone (414) 277-8980.

Contact Information

Primary practice address
9000 W Wisconsin Ave Division Of Child Protection Milwaukee WI 53226-4874
Phone: (414) 277-8980
Fax: (414) 277-8969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52848-20 Wisconsin
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 52848 Wisconsin

Profile Details

NPI number 1932302668
LBN Legal business name Hodges, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Oct 5th, 2020 - about 6 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 1932302668 NPPES
Wisconsin MEDICAID 1932302668

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