Kelly, Cassandra Terresa

Kelly, Cassandra Terresa is an individual health care provider with primary practice located at 139 Henry Pkwy , Mcdonough GA 30253-6636. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Kelly, Cassandra Terresa can be contacted via phone (770) 898-7400.

Contact Information

Primary practice address
139 Henry Pkwy Mcdonough GA 30253-6636
Phone: (770) 898-7400
Fax: (770) 898-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN081087 Georgia

Profile Details

NPI number 1376850719
LBN Legal business name Kelly, Cassandra Terresa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2010
Last updated Sep 16th, 2010 - about 14 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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