Edwards, Kelley R

Edwards, Kelley R is an individual health care provider with primary practice located at 2665 Fox Pointe Dr , Columbus IN 47203-3222. 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. Edwards, Kelley R can be contacted via phone (812) 378-3131.

Contact Information

Primary practice address
2665 Fox Pointe Dr Columbus IN 47203-3222
Phone: (812) 378-3131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006506A Indiana

Profile Details

NPI number 1932656311
LBN Legal business name Edwards, Kelley R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2016
Last updated Mar 6th, 2024 - about 9 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 1932656311 NPPES
Indiana Other IN1125026 MEDICARE PTAN
Indiana MEDICAID 201386320 MEDICARE PTAN
Indiana Other IN1127025 MEDICARE PTAN

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