Kelly A Isherwood in Milwaukee - Physician Assistant
Kelly A Isherwood - NPI 1043312937
Kelly A Isherwood is a Physician Assistant in Milwaukee, Wisconsin. Kelly A Isherwood practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly A Isherwood is 1043312937. The last update date is 2010-11-24.
Kelly A Isherwood's current location address is 2350 N Lake Dr, Milwaukee, Wisconsin. You can contact this provider via phone number 4142987280 and fax number 4142987281. The mailing address for Kelly A Isherwood is 2350 N Lake Dr, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Isherwood |
|---|---|
| Address | 2350 N Lake Dr, Milwaukee, Wisconsin |
| Phone Number | 4142987280 |
| Fax Number | 4142987281 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043312937 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2010-11-24 |
Provider Mailing Address Detail
| Address | 2350 N Lake Dr |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532114528 |
| Phone Number | 4142987280 |
| Fax Number | 4142987281 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1675-023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42866700 | WI | NETWORK HEALTH - T19 | |
| 42866700 | WI | -- | |
| 42866700 | MANAGED HEALTH SERVICES | ||
| 42866700 | WI | WPS GAMP | |
| 42866700 | WI | UHC-T19 | |
| 42866700 | WI | HIRSP |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly A Isherwood by the Centers for Medicare & Medicaid Services?
The Kelly A Isherwood has been issued the NPI (National Provider Identifier) 1043312937. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly A Isherwood?
The Kelly A Isherwood is physically situated at 2350 N Lake Dr, in the city of Milwaukee, state of WI, with the postal code 532114528.
What is Kelly A Isherwood's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly A Isherwood's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When was the Kelly A Isherwood's 1043312937 issued?
The Kelly A Isherwood's 1043312937 was issued on 2006-09-02.
As of what date were the details related to Kelly A Isherwood most recently updated or revised?
The information pertaining to Kelly A Isherwood, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-24.