Nicholson, Kerri L

Nicholson, Kerri L is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicholson, Kerri L can be contacted via phone (262) 948-7385.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-7385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014179 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7623-033 Wisconsin

Profile Details

NPI number 1326497868
LBN Legal business name Nicholson, Kerri L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2016
Last updated Nov 22nd, 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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