John T Kelly
Allergist & Immunologist
1821 S Stoughton Rd
Madison
, Wisconsin 53716-2257
John T Kelly
Allergist & Immunologist
1821 S Stoughton Rd
Madison
, Wisconsin 53716-2257
(608) 260-6429
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- John T Kelly
- 1821 S Stoughton Rd
- Madison, WI
- Zip : 53716-2257
- Fax : (608) 260-6429
- Phone : (608) 260-6000
Second Address
- John T Kelly
- 1821 S Stoughton Rd
- Madison, WI
- Zip : 53716-2257
- Fax : (608) 260-6429
- Phone : (608) 260-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 47350-20 | WI |
National Provider Identifier
| NPI | 1104874361 |
|---|---|
| Provider Name | John T Kelly |
| First Address | Madison, WI 53716-2257 |
| Second Address | Madison, WI 53716-2257 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 27/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1104874361 | (05) | WI |
| P01443027 | RAILROAD MEDICARE (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.