Derington, Kelly R

Derington, Kelly R is an individual health care provider with primary practice located at 285 Medical Center Dr , Paducah KY 42003-7912. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Derington, Kelly R can be contacted via phone (270) 441-4343.

Contact Information

Primary practice address
285 Medical Center Dr Paducah KY 42003-7912
Phone: (270) 441-4343
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1097839 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3006215 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006215 Kentucky

Profile Details

NPI number 1083847404
LBN Legal business name Derington, Kelly R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated May 31st, 2024 - about 7 months 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 1083847404 NPPES
Kentucky Other 000000632043 ANTHEM
Kentucky MEDICAID 7100098570 ANTHEM

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