Sasada, Kelli Louise

Sasada, Kelli Louise is an individual health care provider with primary practice located at 9555 76Th St Suite 4105, Pleasant Prairie WI 53158-1984. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Sasada, Kelli Louise can be contacted via phone (262) 577-8080.

Contact Information

Primary practice address
9555 76Th St Suite 4105 Pleasant Prairie WI 53158-1984
Phone: (262) 577-8080
Fax: (262) 577-8081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD60215747 Washington
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 57485 Wisconsin

Profile Details

NPI number 1265698690
LBN Legal business name Sasada, Kelli Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 10th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265698690 NPPES
Washington Other 0281999 DEPT OF LABOR & INDUSTRIES
Washington MEDICAID 1265698690 DEPT OF LABOR & INDUSTRIES

Popular Providers