Hathaway, Kelli Ann

Hathaway, Kelli Ann is an sole proprietor health care provider with primary practice located at 13 Jacob Ct , Ponte Vedra FL 32081-8448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hathaway, Kelli Ann can be contacted via phone (904) 655-0207.

Contact Information

Primary practice address
13 Jacob Ct Ponte Vedra FL 32081-8448
Phone: (904) 655-0207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9278296 Florida

Profile Details

NPI number 1639741242
LBN Legal business name Hathaway, Kelli Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2021
Last updated Jul 21st, 2021 - about 4 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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