Bishop, Kellie A

Bishop, Kellie A is an individual health care provider with primary practice located at 9015 Dailey Dr , Little Rock AR 72209-6215. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bishop, Kellie A can be contacted via phone (501) 364-6560.

Contact Information

Primary practice address
9015 Dailey Dr Little Rock AR 72209-6215
Phone: (501) 364-6560
Fax: (501) 364-1236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R093565 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A004760 Arkansas

Profile Details

NPI number 1992146088
LBN Legal business name Bishop, Kellie A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2013
Last updated Jun 10th, 2022 - 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 1992146088 NPPES
Arkansas MEDICAID 214659758

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