Mcgregory, Kelly N

Mcgregory, Kelly N is an sole proprietor health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-2768. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Mcgregory, Kelly N can be contacted via phone (608) 263-6420.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-2768
Phone: (608) 263-6420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-117262 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60515 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54885-021 Wisconsin
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 54885 Wisconsin

Profile Details

NPI number 1104025279
LBN Legal business name Mcgregory, Kelly N
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Feb 10th, 2021 - about 5 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 1104025279 NPPES
Wisconsin MEDICAID 1104025279
Wisconsin MEDICAID 036117262

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