Smith, Keslie E

Smith, Keslie E is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Keslie E can be contacted via phone (608) 252-8003.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 252-8003
Fax: (608) 356-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13664-33 Wisconsin

Profile Details

NPI number 1568161404
LBN Legal business name Smith, Keslie E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2023
Last updated Sep 7th, 2023 - about 3 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 1568161404 NPPES
Wisconsin MEDICAID 1568161404

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