Kelly, Catherine Grace
Kelly, Catherine Grace is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Catherine Grace can be contacted via phone (928) 729-8600.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504
Phone: (928) 729-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 39646 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NUR-APRN-LIC-100842 | Montana |
Profile Details
| NPI number | 1609280833 |
|---|---|
| LBN Legal business name | Kelly, Catherine Grace |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2014 |
| Last updated | Nov 22nd, 2019 - about 5 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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