Talbert, Kerry A
Talbert, Kerry A is an sole proprietor health care provider with primary practice located at 480 Pilgrim Way # 1300-A , Green Bay WI 54304-5280. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Talbert, Kerry A can be contacted via phone (920) 610-5119.Contact Information
Primary practice address
480 Pilgrim Way # 1300-A
Green Bay WI 54304-5280
Phone: (920) 610-5119
Fax: (920) 610-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7439 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7349 | Wisconsin |
Profile Details
| NPI number | 1336691062 |
|---|---|
| LBN Legal business name | Talbert, Kerry A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2016 |
| Last updated | May 13th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336691062 | NPPES |
| Wisconsin | Other | 2627165705 | PHONE |
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