Kelly, Lauren

Kelly, Lauren is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kelly, Lauren can be contacted via phone (256) 533-1970.

Contact Information

Primary practice address
4040 Memorial Pkwy Sw Huntsville AL 35802-4364
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 1-127320 Alabama
Nursing Service Providers / Registered Nurse 163W00000X 1-127320 Alabama

Profile Details

NPI number 1881300887
LBN Legal business name Kelly, Lauren
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2023
Last updated Mar 11th, 2024 - about 9 months 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 1881300887 NPPES
Alabama MEDICAID 330000014

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