Kellner, Nicole Michelle

Kellner, Nicole Michelle is an individual health care provider with primary practice located at 40 Medical Park Blvd Suite A, Petersburg VA 23805-9289. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kellner, Nicole Michelle can be contacted via phone (804) 520-6730.

Contact Information

Primary practice address
40 Medical Park Blvd Suite A Petersburg VA 23805-9289
Phone: (804) 520-6730
Fax: (804) 520-6731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004771 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004771 Virginia

Profile Details

NPI number 1245581677
LBN Legal business name Kellner, Nicole Michelle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Jan 7th, 2022 - 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.

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