Garland, Kelli S
Garland, Kelli S is an individual health care provider with primary practice located at 6285 S Higley Rd , Gilbert AZ 85298-4262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Garland, Kelli S can be contacted via phone (480) 460-4949.Contact Information
Primary practice address
6285 S Higley Rd
Gilbert AZ 85298-4262
Phone: (480) 460-4949
Fax: (480) 460-5858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN098924 | Arizona |
Profile Details
| NPI number | 1750411203 |
|---|---|
| LBN Legal business name | Garland, Kelli S |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 30th, 2020 - 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 | 1750411203 | NPPES |
| Arizona | MEDICAID | 490045 |
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