Fredericks, Kelsey Horner

Fredericks, Kelsey Horner is an individual health care provider with primary practice located at 2018 Clinch Ave , Knoxville TN 37916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fredericks, Kelsey Horner can be contacted via phone (865) 541-8266.

Contact Information

Primary practice address
2018 Clinch Ave Knoxville TN 37916
Phone: (865) 541-8266
Fax: (865) 541-8553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20848 Tennessee

Profile Details

NPI number 1922450758
LBN Legal business name Fredericks, Kelsey Horner
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Apr 8th, 2022 - about 3 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 1922450758 NPPES
Tennessee MEDICAID Q049909

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