Kelley, Beth A

Kelley, Beth A is an individual health care provider with primary practice located at 1717 E. Chicago Road , Sturgis MI 49091-2372. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Kelley, Beth A can be contacted via phone (269) 659-6747.

Contact Information

Primary practice address
1717 E. Chicago Road Sturgis MI 49091-2372
Phone: (269) 659-6747
Fax: (269) 659-6746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704194227 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704194227 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704194227 Michigan

Profile Details

NPI number 1972724821
LBN Legal business name Kelley, Beth A
Credentials NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Dec 6th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972724821 NPPES
Indiana Other 000000612032 BCBS
Indiana MEDICAID 200932840 BCBS
Indiana Other 160G510560 BCBS
Indiana Other 700G560080 BCBS

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