MEDICARE: MAY ONE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1578302626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAY ONE LLC

Provider Business Mailing Address
First Line	:	3956 N MURRAY AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2303
Country	:	US
Telephone Number	:	414-368-9231
Fax Number	:

Provider Business Practice Location Address
First Line	:	3956 N MURRAY AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2303
Country	:	US
Telephone Number	:	414-368-9231
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MORGAN S KELLY-HUBER
Credential	:	LAT
Telephone Number	:	414-469-9008

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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Directions to “MAY ONE LLC ” Practice Location

Language	Start Address	Practice Location

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