Brewster, Kelly N

Brewster, Kelly N is an individual health care provider with primary practice located at 104 Innwood Drive , Covington LA 70433-3358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brewster, Kelly N can be contacted via phone (985) 249-7022.

Contact Information

Primary practice address
104 Innwood Drive Covington LA 70433-3358
Phone: (985) 249-7022
Fax: (985) 249-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP04907 Louisiana

Profile Details

NPI number 1144492794
LBN Legal business name Brewster, Kelly N
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Jul 19th, 2012 - about 12 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 1144492794 NPPES
Louisiana MEDICAID 1504203

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