Kennelly, R. Kevin

Kennelly, R. Kevin is an individual health care provider with primary practice located at 555 S 108Th St , West Allis WI 53214-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennelly, R. Kevin can be contacted via phone (414) 566-6400.

Contact Information

Primary practice address
555 S 108Th St West Allis WI 53214-1100
Phone: (414) 566-6400
Fax: (414) 566-3866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 247-023 Wisconsin

Profile Details

NPI number 1780651604
LBN Legal business name Kennelly, R. Kevin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jul 13th, 2026 - about 3 months 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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