Kelly Kathleen Underhill | Milwaukee, WI • PECOS Search

Kelly Kathleen Underhill

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Kathleen Underhill does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1215944889
Provider Type
Individual
Full Name
Underhill, Kelly Kathleen
Title
Ms.
Credential
APSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/3/2006
Last Updated
7/8/2007

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

Unlisted Fax

Mailing Location

6522 246th Ave, Salem, WI 53168-9777

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2138121 Wisconsin