Drumheller, Kelly W

Drumheller, Kelly W is an individual health care provider with primary practice located at 117 W Northside Dr , Valdosta GA 31602-1700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Drumheller, Kelly W can be contacted via phone (229) 242-6061.

Contact Information

Primary practice address
117 W Northside Dr Valdosta GA 31602-1700
Phone: (229) 242-6061
Fax: (229) 242-6151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN141047NP Georgia

Profile Details

NPI number 1578673349
LBN Legal business name Drumheller, Kelly W
Credentials NP C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 22nd, 2013 - about 12 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 1578673349 NPPES
Other F0605200 FAMILY NURSE PRACTIONER
Other RN141047NP FAMILY NURSE PRACTIONER
MEDICAID 308955000 FAMILY NURSE PRACTIONER
MEDICAID 181714338C FAMILY NURSE PRACTIONER

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