Forrest, Kelly

Forrest, Kelly is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Forrest, Kelly can be contacted via phone (770) 838-8824.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 838-8824
Fax: (770) 838-8563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN209834 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN209834 Georgia

Profile Details

NPI number 1184084600
LBN Legal business name Forrest, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2016
Last updated Feb 25th, 2016 - about 8 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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