MEDICARE: ORIN A KELLY SR.

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	343900000X	Non-emergency Medical Transport (VAN)	K4006417318200	WI

General Provider Information

NPI Number	:	1801306998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORIN A KELLY SR.

Provider Business Mailing Address
First Line	:	4856 N 40TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5204
Country	:	US
Telephone Number	:	414-759-2276
Fax Number	:

Provider Business Practice Location Address
First Line	:	4856 N 40TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5204
Country	:	US
Telephone Number	:	414-759-2276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	10/03/2017

Similar Medicare Providers

1487164562 — CDK RESIDENTIALS, LLC
Practice Location Address:

4856 N 40TH ST
MILWAUKEE, WI
53209-5204

Practice Phone: 414-759-2276
Practice Fax:

1831049865 — TIA ROBERTSON
Practice Location Address:

4747 N 44TH ST
MILWAUKEE, WI
53218-5204

Practice Phone: 414-839-0319
Practice Fax:

1578004602 — JOSHUA TREVINO
Practice Location Address:

1502 S 54TH ST
WEST MILWAUKEE, WI
53214-5204

Practice Phone: 414-899-5332
Practice Fax:

1750917589 — LOVING ELDERLY ADULT DAY CARE CENTER LLC
Practice Location Address:

7017 N 58TH ST
MILWAUKEE, WI
53223-5204

Practice Phone: 414-207-6796
Practice Fax:

1851240337 — NOELS ADULT FAMILY HOME
Practice Location Address:

1419 W CUSTER AVE
MILWAUKEE, WI
53209-5120

Practice Phone: 414-688-8738
Practice Fax:

1063408573 — PEGGY TONG MD
Practice Location Address:

3003 W GOOD HOPE RD
MILWAUKEE, WI
53209-2042

Practice Phone: 414-352-3100
Practice Fax: 414-247-4597

Directions to “ ORIN A KELLY SR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.