Kelly A Dubord in Milwaukee - Professional

Kelly A Dubord - NPI 1649370727

Kelly A Dubord is a Professional in Milwaukee, Wisconsin. Kelly A Dubord practices all healthcare services and medical treatments related to Professional. The NPI Number for Kelly A Dubord is 1649370727. The last update date is 2023-10-04.

Kelly A Dubord's current location address is 2323 N Lake Dr Fl 1, Milwaukee, Wisconsin. You can contact this provider via phone number 4145856120. The mailing address for Kelly A Dubord is 2323 N Lake Dr Fl 1, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly A Dubord
Address 2323 N Lake Dr Fl 1, Milwaukee, Wisconsin
Phone Number 4145856120
Fax Number
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1649370727
Provider Enumeration Date 2006-09-25
Last Updated Date 2023-10-04

Provider Mailing Address Detail

Address 2323 N Lake Dr Fl 1
City Milwaukee
State Wisconsin (WI)
Post Code 532114508
Phone Number 4145856120
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 3633-125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41008600 WI --

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FAQs about Kelly A Dubord

What is the unique provider identifier assigned to Kelly A Dubord?

The Kelly A Dubord has been issued the NPI (National Provider Identifier) 1649370727 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kelly A Dubord's facilities are geographically located?

The facilities of Kelly A Dubord are physically situated at the following location: 2323 N Lake Dr Fl 1, Milwaukee, WI, 532114508.

What is Kelly A Dubord's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly A Dubord's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.

On what date did Kelly A Dubord receive its 1649370727 assignment from the Centers for Medicare & Medicaid Services?

The Kelly A Dubord was assigned its 1649370727 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kelly A Dubord most recently updated?

The details pertaining to the Kelly A Dubord, including its address, specialty, and other relevant information, were last refreshed on 2023-10-04.

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