Kelly C Comp is a Nurse Practitioner in Wauwatosa, Wisconsin. Kelly C Comp practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kelly C Comp is 1508042318. The last update date is 2023-12-06.
Kelly C Comp's current location address is 10701 W Research Dr, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144434801 and fax number 8552214968. The mailing address for Kelly C Comp is 10701 W Research Dr, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly C Comp |
|---|---|
| Address | 10701 W Research Dr, Wauwatosa, Wisconsin |
| Phone Number | 4144434801 |
| Fax Number | 8552214968 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1508042318 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2023-12-06 |
Provider Mailing Address Detail
| Address | 10701 W Research Dr |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532263452 |
| Phone Number | 4144434801 |
| Fax Number | 8552214968 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2186-033 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100033061 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelly C Comp by the Centers for Medicare & Medicaid Services?
The Kelly C Comp has been issued the NPI (National Provider Identifier) 1508042318, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly C Comp's facilities are geographically located?
The facilities of Kelly C Comp are physically situated at the following location: 10701 W Research Dr, Wauwatosa, WI, 532263452.
What is Kelly C Comp'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 Kelly C Comp is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Kelly C Comp receive its 1508042318 assignment from the Centers for Medicare & Medicaid Services?
The Kelly C Comp was assigned its 1508042318 by the Centers for Medicare & Medicaid Services on 2008-01-11.
As of what date was the information pertaining to Kelly C Comp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly C Comp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-12-06.