Cook, Kelle
Cook, Kelle is an individual health care provider with primary practice located at 510 E Rio Grande St , Victoria TX 77901-6033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Kelle can be contacted via phone (361) 570-1082.Contact Information
Primary practice address
510 E Rio Grande St
Victoria TX 77901-6033
Phone: (361) 570-1082
Fax: (361) 570-1091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 643091 | Texas |
Profile Details
| NPI number | 1356361638 |
|---|---|
| LBN Legal business name | Cook, Kelle |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Dec 6th, 2010 - about 14 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 | 1356361638 | NPPES |
| Texas | MEDICAID | 203525502 | |
| Texas | MEDICAID | 203525503 | |
| Texas | MEDICAID | 203525501 |
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