Jebb, Kelsey Michelle

Jebb, Kelsey Michelle is an sole proprietor health care provider with primary practice located at 1200 W State St , Rockford IL 61102-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jebb, Kelsey Michelle can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102-2112
Phone: (815) 490-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006839 Illinois

Profile Details

NPI number 1447729413
LBN Legal business name Jebb, Kelsey Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2018
Last updated Nov 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447729413 NPPES
Illinois Other 085006839 DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Popular Providers