Kelley, Kenneth J

Kelley, Kenneth J is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kelley, Kenneth J can be contacted via phone (501) 321-1000.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 321-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01582 Arkansas

Profile Details

NPI number 1710946330
LBN Legal business name Kelley, Kenneth J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 28th, 2008 - about 16 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 1710946330 NPPES
Arkansas Other 5Y805 BCBS
Arkansas Other P00307848 BCBS

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