Individual ProviderKeely CullenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W National Ave, Milwaukee, WI 53295-0001(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Keely Cullen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386108991Provider TypeIndividualFull NameCullen, KeelyGenderFemaleSole ProprietorNoEnumeration Date1/28/2019Last Updated1/28/2019Contact InformationPractice LocationPractice Address5000 W National Ave, Milwaukee, WI 53295-0001Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing AddressS62w35370 Piper Rd, Eagle, WI 53119-1265PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer