Kelly, Darlene C
Kelly, Darlene C is an individual health care provider with primary practice located at 108 N Main Street , Mcville ND 58254-0307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Darlene C can be contacted via phone (701) 322-4347.Contact Information
Primary practice address
108 N Main Street
Mcville ND 58254-0307
Phone: (701) 322-4347
Fax: (701) 322-2250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R17289 | North Dakota |
Profile Details
| NPI number | 1114058468 |
|---|---|
| LBN Legal business name | Kelly, Darlene C |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Oct 19th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114058468 | NPPES |
| North Dakota | MEDICAID | 19526 |
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