Evans, Kelly A

Evans, Kelly A is an individual health care provider with primary practice located at 2213 Cherry St Ste Acc 200 , Toledo OH 43608-2603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Evans, Kelly A can be contacted via phone (419) 251-4283.

Contact Information

Primary practice address
2213 Cherry St Ste Acc 200 Toledo OH 43608-2603
Phone: (419) 251-4283
Fax: (419) 251-0814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X L089241 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704251383 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.022221 Ohio

Profile Details

NPI number 1598754590
LBN Legal business name Evans, Kelly A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Nov 5th, 2019 - about 6 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 1598754590 NPPES
Iowa Other 31415 BCBS

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