Goldsborough, Kellie A

Goldsborough, Kellie A is an individual health care provider with primary practice located at 309 New St , Greensboro NC 27405-3654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Goldsborough, Kellie A can be contacted via phone (336) 379-9708.

Contact Information

Primary practice address
309 New St Greensboro NC 27405-3654
Phone: (336) 379-9708
Fax: (336) 378-8714
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 9801287 North Carolina

Profile Details

NPI number 1649226614
LBN Legal business name Goldsborough, Kellie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 9th, 2021 - 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 1649226614 NPPES
North Carolina Other 37411 PARTNERS
North Carolina Other 561274347 PARTNERS
North Carolina Other 390008240 PARTNERS
North Carolina Other 1272G PARTNERS
North Carolina Other 3100068 PARTNERS
North Carolina MEDICAID 891272G PARTNERS

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