Anderson, Kelly Renee

Anderson, Kelly Renee is an individual health care provider with primary practice located at 12300 Mccracken Rd , Garfield Heights OH 44125-2914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Kelly Renee can be contacted via phone (440) 344-4253.

Contact Information

Primary practice address
12300 Mccracken Rd Garfield Heights OH 44125-2914
Phone: (440) 344-4253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Ohio

Profile Details

NPI number 1124547104
LBN Legal business name Anderson, Kelly Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Dec 28th, 2023 - about last year

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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