Kelley, Philip Douglas
Kelley, Philip Douglas is an sole proprietor health care provider with primary practice located at 134 Western Ave , Fond Du Lac WI 54935-4106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as his primary health care specialty. Kelley, Philip Douglas can be contacted via phone (920) 929-3366.Contact Information
Primary practice address
134 Western Ave
Fond Du Lac WI 54935-4106
Phone: (920) 929-3366
Fax: (920) 929-6818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 39901-20 | Wisconsin |
Profile Details
| NPI number | 1033565346 |
|---|---|
| LBN Legal business name | Kelley, Philip Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2016 |
| Last updated | May 5th, 2016 - about 10 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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