Keith, Jacqueline Kelly

Keith, Jacqueline Kelly is an individual health care provider with primary practice located at 130 Carbonton Rd , Sanford NC 27330-4009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Keith, Jacqueline Kelly can be contacted via phone (919) 774-6521.

Contact Information

Primary practice address
130 Carbonton Rd Sanford NC 27330-4009
Phone: (919) 774-6521
Fax: (919) 776-6179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 141062 North Carolina

Profile Details

NPI number 1326543877
LBN Legal business name Keith, Jacqueline Kelly
Credentials MSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Mar 27th, 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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