Angotti, Kelly Nicole

Angotti, Kelly Nicole is an individual health care provider with primary practice located at 1968 Peachtree Rd., Nw , Atlanta GA 30309-1281. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Angotti, Kelly Nicole can be contacted via phone (404) 351-1745.

Contact Information

Primary practice address
1968 Peachtree Rd., Nw Atlanta GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 005647 Georgia

Profile Details

NPI number 1417109422
LBN Legal business name Angotti, Kelly Nicole
Credentials PA-AA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Sep 17th, 2015 - about 10 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 1417109422 NPPES
Georgia MEDICAID 840634444A
Georgia Other 840634444B

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