Kelsy B Kellermann in Green Bay - Physician Assistant
Kelsy B Kellermann - NPI 1780771261
Kelsy B Kellermann is a Physician Assistant in Green Bay, Wisconsin. Kelsy B Kellermann practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelsy B Kellermann is 1780771261. The last update date is 2015-05-15.
Kelsy B Kellermann's current location address is 1821 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204964700 and fax number 9204313769. The mailing address for Kelsy B Kellermann is 1821 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelsy B Kellermann |
|---|---|
| Address | 1821 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | 9204313769 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1780771261 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2015-05-15 |
Provider Mailing Address Detail
| Address | 1821 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012253 |
| Phone Number | 9204964700 |
| Fax Number | 9204313769 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2072 |
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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 |
|---|---|---|---|
| P00373789 | WI | RAILROAD | |
| 42895200 | WI | -- |
Post Comment/ Review Below
What is the Kelsy B Kellermann's unique identification number?
The Kelsy B Kellermann has been assigned the NPI (National Provider Identifier) Number 1780771261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelsy B Kellermann's facilities are geographically located?
The facilities of Kelsy B Kellermann are physically situated at the following location: 1821 S Webster Ave, Green Bay, WI, 543012253.
What is Kelsy B Kellermann'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 Kelsy B Kellermann is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780771261 to Kelsy B Kellermann?
The Kelsy B Kellermann received its 1780771261 assignment from the Centers for Medicare & Medicaid Services on 2006-10-06.
When was the information regarding Kelsy B Kellermann most recently updated?
The details pertaining to the Kelsy B Kellermann, including its address, specialty, and other relevant information, were last refreshed on 2015-05-15.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD