Keller, Mary Margaret
Keller, Mary Margaret is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Ste 413 , Milwaukee WI 53215-3660. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Keller, Mary Margaret can be contacted via phone (414) 383-7744.Contact Information
Primary practice address
2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee WI 53215-3660
Phone: (414) 383-7744
Fax: (414) 383-8089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1968 | Wisconsin |
Profile Details
| NPI number | 1992727259 |
|---|---|
| LBN Legal business name | Keller, Mary Margaret |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 9th, 2019 - about 7 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 | 1992727259 | NPPES |
| Wisconsin | MEDICAID | 43985900 |
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