Evans, Kelly
Evans, Kelly is an individual health care provider with primary practice located at 85 Highway 80 , Manchester KY 40962-8801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Evans, Kelly can be contacted via phone (606) 596-0410.Contact Information
Primary practice address
85 Highway 80
Manchester KY 40962-8801
Phone: (606) 596-0410
Fax: (606) 528-8272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02584 | Kentucky |
Profile Details
| NPI number | 1124107693 |
|---|---|
| LBN Legal business name | Evans, Kelly |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jan 17th, 2019 - about 5 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 | 1124107693 | NPPES |
| Kentucky | MEDICAID | 64012206 |
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