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
Phone: (775) 727-5500
Fax: (775) 727-5696
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730566647 | NPPES |
| Nevada | MEDICAID | 1730566647 |
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