Cline, Kelly Elaine

Cline, Kelly Elaine is an individual health care provider with primary practice located at 1575 Chattanooga Ave Ste 1 , Dalton GA 30720-2672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cline, Kelly Elaine can be contacted via phone (706) 876-2130.

Contact Information

Primary practice address
1575 Chattanooga Ave Ste 1 Dalton GA 30720-2672
Phone: (706) 876-2130
Fax: (706) 876-2168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 229177 Georgia

Profile Details

NPI number 1871877381
LBN Legal business name Cline, Kelly Elaine
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2011
Last updated Jan 24th, 2014 - about 10 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 1871877381 NPPES
Georgia MEDICAID 003140098A

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