Jones, Kalli M

Jones, Kalli M is an individual health care provider with primary practice located at 2844 W Edgewood Dr , Port Angeles WA 98363-9510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jones, Kalli M can be contacted via phone (360) 460-9493.

Contact Information

Primary practice address
2844 W Edgewood Dr Port Angeles WA 98363-9510
Phone: (360) 460-9493
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 14383 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60691562 Washington

Profile Details

NPI number 1043546021
LBN Legal business name Jones, Kalli M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated Mar 28th, 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 1043546021 NPPES
Tennessee MEDICAID 1516075

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