Kelly, Kay Pontius

Kelly, Kay Pontius is an individual health care provider with primary practice located at 25451 Menomini Ct , Wheaton IL 60189. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Kelly, Kay Pontius can be contacted via phone (630) 254-5352.

Contact Information

Primary practice address
25451 Menomini Ct Wheaton IL 60189
Phone: (630) 254-5352
Fax: (630) 810-1037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-056877 Illinois
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1427079961
LBN Legal business name Kelly, Kay Pontius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 22nd, 2022 - about 4 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 1427079961 NPPES
Illinois MEDICAID 036-056877

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