Keller, Kathryn M.

Keller, Kathryn M. is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Keller, Kathryn M. can be contacted via phone (608) 756-5555.

Contact Information

Primary practice address
903 Mineral Point Ave Janesville WI 53548-2970
Phone: (608) 756-5555
Fax: (608) 756-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3906125 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2891-57 Wisconsin

Profile Details

NPI number 1750541835
LBN Legal business name Keller, Kathryn M.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jan 16th, 2017 - about 9 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 1750541835 NPPES
Wisconsin Other KELLEKA2 MERCYCARE INSURANCE
Wisconsin Other 1750541835 MERCYCARE INSURANCE
Wisconsin MEDICAID 1750541835 MERCYCARE INSURANCE
Wisconsin Other 1750541835 MERCYCARE INSURANCE

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