Pendleton, Kelsey Paige
Pendleton, Kelsey Paige is an sole proprietor health care provider with primary practice located at 530 N 108Th Pl Ste 100 , Wauwatosa WI 53226-4253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pendleton, Kelsey Paige can be contacted via phone (414) 797-3551.Contact Information
Primary practice address
530 N 108Th Pl Ste 100
Wauwatosa WI 53226-4253
Phone: (414) 797-3551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MT209128 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51558 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71109-20 | Wisconsin |
Profile Details
| NPI number | 1497140503 |
|---|---|
| LBN Legal business name | Pendleton, Kelsey Paige |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2015 |
| Last updated | Nov 24th, 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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