Harness, Kelly E
Harness, Kelly E is an individual health care provider with primary practice located at 344 Overlook Dr Ste 200 , Lebanon VA 24266-3436. 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. Harness, Kelly E can be contacted via phone (276) 883-5900.Contact Information
Primary practice address
344 Overlook Dr Ste 200
Lebanon VA 24266-3436
Phone: (276) 883-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5010643 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 27841 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024180875 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 153499 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5010643 | North Carolina |
Profile Details
| NPI number | 1154432003 |
|---|---|
| LBN Legal business name | Harness, Kelly E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 9th, 2023 - about last year |
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 | 1154432003 | NPPES |
| Missouri | MEDICAID | 425076205 |
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