Hemphill, Kelly Everett

Hemphill, Kelly Everett is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se Ste B, Gainesville GA 30501-3756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Hemphill, Kelly Everett can be contacted via phone (770) 532-7092.

Contact Information

Primary practice address
655 Jesse Jewell Pkwy Se Ste B Gainesville GA 30501-3756
Phone: (770) 532-7092
Fax: (770) 536-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5293 Georgia

Profile Details

NPI number 1609049089
LBN Legal business name Hemphill, Kelly Everett
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 12th, 2023 - about 2 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 1609049089 NPPES
Georgia MEDICAID 742533948B
Georgia MEDICAID 742533948A
Georgia Other 01357356
Georgia Other 587186

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