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Contact Information

KELLY L BACHUS, MED, ATC
500 LINCOLN DR
MADISON, WI53706-1314
 Phone: 608-515-3893
 Fax: 608-265-4736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KELLY L BACHUS · (Female)

NPI # 1013088558
Status Active
Credentials MED, ATC
Entity Individual
Enumeration date 11/13/2006
Last updated 09/13/2017 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # AT0360
  • TN License # 1155
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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