Kelln, Rebecca Kathleen
Kelln, Rebecca Kathleen is an individual health care provider with primary practice located at 100 Navarre Pl Ste 5550, South Bend IN 46601-1169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelln, Rebecca Kathleen can be contacted via phone (574) 647-2550.Contact Information
Primary practice address
100 Navarre Pl Ste 5550
South Bend IN 46601-1169
Phone: (574) 647-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601006095 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002837A | Indiana |
Profile Details
| NPI number | 1427339597 |
|---|---|
| LBN Legal business name | Kelln, Rebecca Kathleen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2011 |
| Last updated | May 1st, 2023 - about 2 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 | 1427339597 | NPPES |
| Indiana | MEDICAID | 300032358 |
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