Kelley, Angela Denise Kitchens
Kelley, Angela Denise Kitchens is an individual health care provider with primary practice located at 4411 Oakwood Dr , Chattanooga TN 37416-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kelley, Angela Denise Kitchens can be contacted via phone (423) 892-4289.Contact Information
Primary practice address
4411 Oakwood Dr
Chattanooga TN 37416-2367
Phone: (423) 892-4289
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN085412 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APN0000018133 | Tennessee |
Profile Details
NPI number | 1184845505 |
---|---|
LBN Legal business name | Kelley, Angela Denise Kitchens |
Credentials | RN, MSN, GNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2007 |
Last updated | Mar 30th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184845505 | NPPES |
Tennessee | Other | 103G709374 | MEDICARE PTAN |
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