Kamelle, Christine B
Kamelle, Christine B is an individual health care provider with primary practice located at 2801 W Kk River Parkway Suite 245, Milwaukee WI 53215. 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. Kamelle, Christine B can be contacted via phone (414) 649-6780.Contact Information
Primary practice address
2801 W Kk River Parkway Suite 245
Milwaukee WI 53215
Phone: (414) 649-6780
Fax: (414) 649-6030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2252 | Wisconsin |
Profile Details
| NPI number | 1821090440 |
|---|---|
| LBN Legal business name | Kamelle, Christine B |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Oct 23rd, 2023 - about 3 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 | 1821090440 | NPPES |
| Wisconsin | MEDICAID | 100000719 | |
| Wisconsin | MEDICAID | 1821090440 | |
| Wisconsin | Other | 739750881 |
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