Henry, Kelly

Henry, Kelly is an individual health care provider with primary practice located at 11 Upper Riverdale Rd Sw , Riverdale GA 30274. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is his primary health care specialty. Henry, Kelly can be contacted via phone (770) 991-8000.

Contact Information

Primary practice address
11 Upper Riverdale Rd Sw Riverdale GA 30274
Phone: (770) 991-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN235639 Georgia
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN235639 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN235639 Georgia

Profile Details

NPI number 1245724723
LBN Legal business name Henry, Kelly
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2018
Last updated Nov 13th, 2018 - about 6 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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