Tomatz, Kelle Joell

Tomatz, Kelle Joell is an individual health care provider with primary practice located at 6609 W Greenfield Ave , West Allis WI 53214-4958. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tomatz, Kelle Joell can be contacted via phone (414) 257-8577.

Contact Information

Primary practice address
6609 W Greenfield Ave West Allis WI 53214-4958
Phone: (414) 257-8577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5795 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5795-33 Wisconsin

Profile Details

NPI number 1972912764
LBN Legal business name Tomatz, Kelle Joell
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2014
Last updated Nov 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972912764 NPPES
Wisconsin MEDICAID 100040306

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