Hidalgo, Kelly

Hidalgo, Kelly is an individual health care provider with primary practice located at 122 Strother Pl , St Simons Island GA 31522-1876. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Hidalgo, Kelly can be contacted via phone (678) 463-6621.

Contact Information

Primary practice address
122 Strother Pl St Simons Island GA 31522-1876
Phone: (678) 463-6621
Fax: (912) 466-7233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7123 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 7123 Georgia

Profile Details

NPI number 1710046503
LBN Legal business name Hidalgo, Kelly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2006
Last updated Mar 22nd, 2017 - about 8 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 1710046503 NPPES
Georgia MEDICAID 000937087C
Georgia MEDICAID 000937087A
Georgia Other 7123

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