Kelley, Billie Jean

Kelley, Billie Jean is an individual health care provider with primary practice located at 1100 Richmond Rd , Irvine KY 40336-7231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelley, Billie Jean can be contacted via phone (606) 723-7706.

Contact Information

Primary practice address
1100 Richmond Rd Irvine KY 40336-7231
Fax: (606) 726-9410
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004077 Kentucky

Profile Details

NPI number 1417061995
LBN Legal business name Kelley, Billie Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated May 26th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417061995 NPPES
Kentucky Other 607850200 FEDERAL BLACK LUNG
Kentucky MEDICAID 78010303 FEDERAL BLACK LUNG

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