Kelly, Lisa M
Kelly, Lisa M is an individual health care provider with primary practice located at 200 Biddle Ave Ste 100 , Newark DE 19702-3967. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Lisa M can be contacted via phone (302) 836-7820.Contact Information
Primary practice address
200 Biddle Ave Ste 100
Newark DE 19702-3967
Phone: (302) 836-7820
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | SP012767 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | L10039633 | Delaware |
Profile Details
NPI number | 1316380462 |
---|---|
LBN Legal business name | Kelly, Lisa M |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 8th, 2013 |
Last updated | Apr 12th, 2022 - about 3 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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