Kelly, Donna L

Kelly, Donna L is an individual health care provider with primary practice located at 1501 E Calvada Blvd , Pahrump NV 89048-5807. 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, Donna L can be contacted via phone (775) 727-5500.

Contact Information

Primary practice address
1501 E Calvada Blvd Pahrump NV 89048-5807
Fax: (775) 727-5696
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN001938 Nevada

Profile Details

NPI number 1730566647
LBN Legal business name Kelly, Donna L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2015
Last updated Jul 16th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730566647 NPPES
Nevada MEDICAID 1730566647

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