Vandermuss, Kelly Rae

Vandermuss, Kelly Rae is an individual health care provider with primary practice located at 1381 Brayden Ln , De Pere WI 54115-9249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vandermuss, Kelly Rae can be contacted via phone (920) 664-3734.

Contact Information

Primary practice address
1381 Brayden Ln De Pere WI 54115-9249
Phone: (920) 664-3734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4704-23 Wisconsin

Profile Details

NPI number 1760042923
LBN Legal business name Vandermuss, Kelly Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2019
Last updated Dec 5th, 2019 - about 7 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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