Abshear, Kelli M.

Abshear, Kelli M. is an individual health care provider with primary practice located at 4829 N State Road 1 , Hagerstown IN 47346-9620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abshear, Kelli M. can be contacted via phone (765) 489-3935.

Contact Information

Primary practice address
4829 N State Road 1 Hagerstown IN 47346-9620
Fax: (765) 489-6344
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003967A Indiana

Profile Details

NPI number 1154681096
LBN Legal business name Abshear, Kelli M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated May 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154681096 NPPES
Other 000000770719 ANTHEM
MEDICAID 0068876 ANTHEM
MEDICAID 201069460 ANTHEM

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