Bauman, Kelly Jo

Bauman, Kelly Jo is an individual health care provider with primary practice located at 401 S Ballenger Hwy , Flint MI 48532-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bauman, Kelly Jo can be contacted via phone (810) 342-2728.

Contact Information

Primary practice address
401 S Ballenger Hwy Flint MI 48532-3638
Phone: (810) 342-2728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704221562 Michigan

Profile Details

NPI number 1225407901
LBN Legal business name Bauman, Kelly Jo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - about 9 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 1225407901 NPPES
Michigan Other 4704221562 LICENSE

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