Kelly, Casey
Kelly, Casey is an individual health care provider with primary practice located at 2200 Tydd St , Eureka CA 95501-1284. 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. Kelly, Casey can be contacted via phone (707) 269-7051.Contact Information
Primary practice address
2200 Tydd St
Eureka CA 95501-1284
Phone: (707) 269-7051
Fax: (707) 269-7054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 20196 | California |
Profile Details
| NPI number | 1205076015 |
|---|---|
| LBN Legal business name | Kelly, Casey |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2009 |
| Last updated | Feb 10th, 2017 - about 8 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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