Kelley, Sharon A

Kelley, Sharon A is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-6089. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kelley, Sharon A can be contacted via phone (920) 430-4746.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-6089
Phone: (920) 430-4746
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 575-019 Wisconsin

Profile Details

NPI number 1508054289
LBN Legal business name Kelley, Sharon A
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 19 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 1508054289 NPPES
Wisconsin Other 575-019 WISCONSIN LICENSE

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