Corkern, Kelli Clebert

Corkern, Kelli Clebert is an individual health care provider with primary practice located at 1023 W Highway 30 , Gonzales LA 70737-5002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corkern, Kelli Clebert can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
1023 W Highway 30 Gonzales LA 70737-5002
Phone: (225) 765-5500
Fax: (225) 647-5342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06551 Louisiana

Profile Details

NPI number 1629353990
LBN Legal business name Corkern, Kelli Clebert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2011
Last updated Aug 24th, 2021 - about 3 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 1629353990 NPPES
Mississippi MEDICAID 07508799
Mississippi MEDICAID 2169149

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