| The Kelley Clinic | |
|
1216 N Prospect Ave Milwaukee WI 53202-3014 | |
| (414) 271-9272 | |
| (414) 271-1299 |
| Full Name | The Kelley Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1216 N Prospect Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jane Kelley (PRESIDENT) |
| Authorized Official Contact | 4142719272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kelley Clinic 1216 N Prospect Ave Milwaukee WI 53202-3014 Ph: (414) 271-9272 | The Kelley Clinic 1216 N Prospect Ave Milwaukee WI 53202-3014 Ph: (414) 271-9272 |
| NPI Number | 1265657704 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265657704 | NPI | - | NPPES |
| 000044264 | Other | WI | MEDICARE NUMBER |
| 281076 | Other | WI | VALUEOPTIONS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wisconsin) | Primary |
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