Kelly, Johnnie

Kelly, Johnnie is an individual health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Kelly, Johnnie can be contacted via phone (706) 432-4837.

Contact Information

Primary practice address
3421 Mike Padgett Hwy Augusta GA 30906-3815
Phone: (706) 432-4837
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN071976 Georgia

Profile Details

NPI number 1609292226
LBN Legal business name Kelly, Johnnie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2014
Last updated Mar 6th, 2014 - about 11 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 1609292226 NPPES
Georgia MEDICAID 000606317B

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