Grant, Kelly Kirkman
Grant, Kelly Kirkman is an individual health care provider with primary practice located at 510 N Elam Ave Ste 202 , Greensboro NC 27403-1177. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grant, Kelly Kirkman can be contacted via phone (336) 299-3183.Contact Information
Primary practice address
510 N Elam Ave Ste 202
Greensboro NC 27403-1177
Phone: (336) 299-3183
Fax: (336) 299-1762
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 200614 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200614 | North Carolina |
Profile Details
NPI number | 1649274002 |
---|---|
LBN Legal business name | Grant, Kelly Kirkman |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Apr 24th, 2018 - 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 | 1649274002 | NPPES |
North Carolina | Other | 200614 | PE# |
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