Kelley, Jeanne M

Kelley, Jeanne M is an sole proprietor health care provider with primary practice located at 2321 N 70Th St , Wauwatosa WI 53213-1319. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kelley, Jeanne M can be contacted via phone (414) 727-4926.

Contact Information

Primary practice address
2321 N 70Th St Wauwatosa WI 53213-1319
Phone: (414) 727-4926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 82731-030 Wisconsin

Profile Details

NPI number 1073766473
LBN Legal business name Kelley, Jeanne M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2008
Last updated Oct 29th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073766473 NPPES
Wisconsin MEDICAID 35061900

Popular Providers