Coleman, Kelly

Coleman, Kelly is an individual health care provider with primary practice located at 3816 S 1St St , Austin TX 78704-7048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Coleman, Kelly can be contacted via phone (512) 443-1311.

Contact Information

Primary practice address
3816 S 1St St Austin TX 78704-7048
Phone: (512) 443-1311
Fax: (512) 406-6266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP129019 Texas

Profile Details

NPI number 1174980437
LBN Legal business name Coleman, Kelly
Credentials MSN, APRN, AGCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2016
Last updated Aug 17th, 2023 - about 2 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 1174980437 NPPES
Texas Other AP129019 TEXAS APRN LICENSE NUMBER
Texas MEDICAID 1174980437 TEXAS APRN LICENSE NUMBER

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