Smerz, Kelly Elizabeth

Smerz, Kelly Elizabeth is an individual health care provider with primary practice located at 6110 N Port Washington Rd , Glendale WI 53217-4308. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smerz, Kelly Elizabeth can be contacted via phone (414) 962-1000.

Contact Information

Primary practice address
6110 N Port Washington Rd Glendale WI 53217-4308
Phone: (414) 962-1000
Fax: (414) 963-6866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2653-57 Wisconsin

Profile Details

NPI number 1477615631
LBN Legal business name Smerz, Kelly Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 20th, 2010 - about 16 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 1477615631 NPPES
Wisconsin MEDICAID 40947900

Popular Providers