Gollar, Kelly M
Gollar, Kelly M is an individual health care provider with primary practice located at 101 Hospital Blvd , Jeffersonville IN 47130-3769. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gollar, Kelly M can be contacted via phone (812) 282-3899.Contact Information
Primary practice address
101 Hospital Blvd
Jeffersonville IN 47130-3769
Phone: (812) 282-3899
Fax: (812) 282-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 3003340 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71001005A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003340 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001005A | Indiana |
Profile Details
| NPI number | 1548257637 |
|---|---|
| LBN Legal business name | Gollar, Kelly M |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Apr 11th, 2017 - about 7 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 | 1548257637 | NPPES |
| Kentucky | Other | 500015602 | RR MCR |
| Kentucky | MEDICAID | 200289980 | RR MCR |
| Kentucky | Other | 500015603 | RR MCR |
| Kentucky | MEDICAID | 78004702 | RR MCR |
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