Barrett, Kellie M

Barrett, Kellie M is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200G , Austin TX 78723-3078. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Barrett, Kellie M can be contacted via phone (512) 380-9200.

Contact Information

Primary practice address
1301 Barbara Jordan Blvd Ste 200G Austin TX 78723-3078
Phone: (512) 380-9200
Fax: (512) 380-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA07119 Texas

Profile Details

NPI number 1568769032
LBN Legal business name Barrett, Kellie M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2011
Last updated May 10th, 2023 - 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 1568769032 NPPES
Texas MEDICAID 323789303
Texas MEDICAID 323789304

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