Earnest, Kelly Elizabeth
Earnest, Kelly Elizabeth is an individual health care provider with primary practice located at 2100 W Clinch Ave Suite 310, Knoxville TN 37916-2219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Earnest, Kelly Elizabeth can be contacted via phone (865) 637-8481.Contact Information
Primary practice address
2100 W Clinch Ave Suite 310
Knoxville TN 37916-2219
Phone: (865) 637-8481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3200P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 13454 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN115204 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13454 | Tennessee |
Profile Details
| NPI number | 1366437238 |
|---|---|
| LBN Legal business name | Earnest, Kelly Elizabeth |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | May 15th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366437238 | NPPES |
| Kentucky | Other | 000000179284 | ID BLUE CROSS INSURANCE |
| Kentucky | Other | 50006858 | ID BLUE CROSS INSURANCE |
| Kentucky | MEDICAID | 78004405 | ID BLUE CROSS INSURANCE |
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