Dawson, Kaelan
Dawson, Kaelan is an sole proprietor health care provider with primary practice located at 775 Sunset Dr , Athens GA 30606-2211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Dawson, Kaelan can be contacted via phone (706) 425-1500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2019046635 | Georgia |
Profile Details
| NPI number | 1114555083 |
|---|---|
| LBN Legal business name | Dawson, Kaelan |
| Credentials | NP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2020 |
| Last updated | Jul 17th, 2024 - about last year |
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 | 1114555083 | NPPES |
| Georgia | MEDICAID | 2019046635 |
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