Kallis, Kelly Anne

Kallis, Kelly Anne is an individual health care provider with primary practice located at 101 Yorktown Dr , Fayetteville GA 30214-1568. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kallis, Kelly Anne can be contacted via phone (770) 460-4285.

Contact Information

Primary practice address
101 Yorktown Dr Fayetteville GA 30214-1568
Phone: (770) 460-4285
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 119187 Georgia

Profile Details

NPI number 1831244417
LBN Legal business name Kallis, Kelly Anne
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Feb 17th, 2011 - about 13 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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