Hartley, Kelly Sue

Hartley, Kelly Sue is an individual health care provider with primary practice located at 33606 N 60Th St , Scottsdale AZ 85262-5243. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Hartley, Kelly Sue can be contacted via phone (480) 437-3002.

Contact Information

Primary practice address
33606 N 60Th St Scottsdale AZ 85262-5243
Phone: (480) 437-3002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN117695 Arizona

Profile Details

NPI number 1184783680
LBN Legal business name Hartley, Kelly Sue
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184783680 NPPES
Arizona MEDICAID 882705

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