Corkern, Kelly B.

Corkern, Kelly B. is an individual health care provider with primary practice located at 1514 Jefferson Highway , New Orleans LA 70121-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Corkern, Kelly B. can be contacted via phone (504) 842-5763.

Contact Information

Primary practice address
1514 Jefferson Highway New Orleans LA 70121-2429
Phone: (504) 842-5763
Fax: (985) 867-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN111274 Louisiana

Profile Details

NPI number 1861633943
LBN Legal business name Corkern, Kelly B.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 3rd, 2011 - about 13 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 1861633943 NPPES
Mississippi MEDICAID 00678509
Mississippi MEDICAID 1793973

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