Kelly, Andrew D
Kelly, Andrew D is an individual health care provider with primary practice located at 8201 Mish Ko Swen Dr , Crandon WI 54520-8631. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kelly, Andrew D can be contacted via phone (715) 478-4300.Contact Information
Primary practice address
8201 Mish Ko Swen Dr
Crandon WI 54520-8631
Phone: (715) 478-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10994 | Wisconsin |
Profile Details
| NPI number | 1508025347 |
|---|---|
| LBN Legal business name | Kelly, Andrew D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2008 |
| Last updated | Jul 15th, 2015 - 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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