Theodore, Kelly

Theodore, Kelly is an individual health care provider with primary practice located at 111 E Wisconsin Ave Ste 1500 , Milwaukee WI 53202-4808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Theodore, Kelly can be contacted via phone (262) 999-3495.

Contact Information

Primary practice address
111 E Wisconsin Ave Ste 1500 Milwaukee WI 53202-4808
Phone: (262) 999-3495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6467 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6467 Wisconsin

Profile Details

NPI number 1821472226
LBN Legal business name Theodore, Kelly
Credentials PMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2015
Last updated May 22nd, 2026 - about 5 months 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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