Collins, Kellie
Collins, Kellie is an individual health care provider with primary practice located at 4516 Sw Yamada Dr , Port St Lucie FL 34953-8518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Collins, Kellie can be contacted via phone (772) 336-2161.Contact Information
Primary practice address
4516 Sw Yamada Dr
Port St Lucie FL 34953-8518
Phone: (772) 336-2161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1946582 | Florida |
Profile Details
| NPI number | 1013026517 |
|---|---|
| LBN Legal business name | Collins, Kellie |
| Credentials | A.R.N.P |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Nov 16th, 2016 - about 8 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 | 1013026517 | NPPES |
| Florida | Other | ARNP1946582 | LICENSE |
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