Borden, Kelly
Borden, Kelly is an individual health care provider with primary practice located at 100 Lantana Rd Ste 202 , Crossville TN 38555-1903. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Borden, Kelly can be contacted via phone (931) 484-5141.Contact Information
Primary practice address
100 Lantana Rd Ste 202
Crossville TN 38555-1903
Phone: (931) 484-5141
Fax: (865) 374-2074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 18301 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 18301 | Tennessee |
Profile Details
NPI number | 1316361264 |
---|---|
LBN Legal business name | Borden, Kelly |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 13th, 2014 |
Last updated | Nov 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316361264 | NPPES |
Tennessee | MEDICAID | Q012706 |
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