Beaver, Kelly Anne

Beaver, Kelly Anne is an individual health care provider with primary practice located at 1212 Weber Rd , Farmington MO 63640-3325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Beaver, Kelly Anne can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
1212 Weber Rd Farmington MO 63640-3325
Phone: (800) 893-9698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2006020391 Missouri

Profile Details

NPI number 1760790786
LBN Legal business name Beaver, Kelly Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Sep 24th, 2010 - about 14 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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