Brent L Kelley is a Family Medicine in Hayward, Wisconsin. Brent L Kelley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brent L Kelley is 1750306288. The last update date is 2023-10-16.
Brent L Kelley's current location address is 15735 W Us Highway 63, Hayward, Wisconsin. You can contact this provider via phone number 8888344551 and fax number 7155984881. The mailing address for Brent L Kelley is 15735 W Us Highway 63, Hayward, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent L Kelley |
|---|---|
| Address | 15735 W Us Highway 63, Hayward, Wisconsin |
| Phone Number | 8888344551 |
| Fax Number | 7155984881 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750306288 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 15735 W Us Highway 63 |
|---|---|
| City | Hayward |
| State | Wisconsin (WI) |
| Post Code | 548436475 |
| Phone Number | 8888344551 |
| Fax Number | 7155984881 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 39957 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30086600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brent L Kelley by the Centers for Medicare & Medicaid Services?
The Brent L Kelley has been assigned the NPI (National Provider Identifier) 1750306288 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Brent L Kelley is physically located?
The Brent L Kelley is situated at the following address: 15735 W Us Highway 63, Hayward, WI 548436475.
What is Brent L Kelley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brent L Kelley's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750306288 to Brent L Kelley?
The Centers for Medicare & Medicaid Services assigned the 1750306288 to Brent L Kelley on 2006-07-13.
When was the Brent L Kelley's information last updated?
The Brent L Kelley's information was last updated on 2023-10-16.