Michelle J Kelly in Oconomowoc - General Practice

Michelle J Kelly - NPI 1245215920

Michelle J Kelly is a General Practice in Oconomowoc, Wisconsin. Michelle J Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michelle J Kelly is 1245215920. The last update date is 2022-07-21.

Michelle J Kelly's current location address is 36032 Ravinia Park Blvd, Oconomowoc, Wisconsin. You can contact this provider via phone number 4149757190 and fax number 2626464181. The mailing address for Michelle J Kelly is 36032 Ravinia Park Blvd, Oconomowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle J Kelly
Address 36032 Ravinia Park Blvd, Oconomowoc, Wisconsin
Phone Number 4149757190
Fax Number 2626464181
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1245215920
Provider Enumeration Date 2005-12-14
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 36032 Ravinia Park Blvd
City Oconomowoc
State Wisconsin (WI)
Post Code 530666714
Phone Number 4149757190
Fax Number 2626464181

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5721-015
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Michelle J Kelly

What is the unique identifier code issued to Michelle J Kelly by the Centers for Medicare & Medicaid Services?

The Michelle J Kelly has been assigned the NPI (National Provider Identifier) 1245215920. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michelle J Kelly is physically located?

The Michelle J Kelly is physically situated at the following address: 36032 Ravinia Park Blvd, Oconomowoc, WI, 530666714.

What is Michelle J Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michelle J Kelly is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Michelle J Kelly receive its 1245215920 assignment?

The Michelle J Kelly was assigned its 1245215920 on 2005-12-14, which is the date when this unique identifier was issued to the organization.

When was the information related to Michelle J Kelly most recently updated or refreshed?

The details pertaining to the Michelle J Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.

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