Herron, Kelley Ann

Herron, Kelley Ann is an individual health care provider with primary practice located at 361 Grant Ave , Junction City KS 66441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Herron, Kelley Ann can be contacted via phone (785) 238-4711.

Contact Information

Primary practice address
361 Grant Ave Junction City KS 66441
Fax: (866) 309-8893
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 77596 Kansas

Profile Details

NPI number 1811438021
LBN Legal business name Herron, Kelley Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Apr 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811438021 NPPES
Kansas MEDICAID 201154440B

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