Kelley, Vivian A.

Kelley, Vivian A. is an individual health care provider with primary practice located at 300 W Hospital Road Eisenhower Army Medical Center Attn Credentials, Fort Gordon GA 30905-5650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Related Providers / Chore Provider. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelley, Vivian A. can be contacted via phone (706) 787-2720.

Contact Information

Primary practice address
300 W Hospital Road Eisenhower Army Medical Center Attn Credentials Fort Gordon GA 30905-5650
Phone: (706) 787-2720
Fax: (706) 787-8176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN159555 Georgia
Nursing Service Related Providers / Chore Provider 372500000X 1-050977 Alabama

Profile Details

NPI number 1669539094
LBN Legal business name Kelley, Vivian A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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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