Kelly, Michael
Kelly, Michael is an individual health care provider with primary practice located at 1005 Boulder Dr , Gray GA 31032-6141. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kelly, Michael can be contacted via phone (478) 621-2100.Contact Information
Primary practice address
1005 Boulder Dr
Gray GA 31032-6141
Phone: (478) 621-2100
Fax: (478) 744-0481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN244571 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN244571 | Georgia |
Profile Details
| NPI number | 1134781073 |
|---|---|
| LBN Legal business name | Kelly, Michael |
| Credentials | APRN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jul 1st, 2019 - about 5 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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