Kelly, Michelle Rose

Kelly, Michelle Rose is an individual health care provider with primary practice located at 701 W High St , Jefferson City MO 65101-1525. 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, Michelle Rose can be contacted via phone (573) 636-3313.

Contact Information

Primary practice address
701 W High St Jefferson City MO 65101-1525
Phone: (573) 636-3313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2104005310 Missouri

Profile Details

NPI number 1366867061
LBN Legal business name Kelly, Michelle Rose
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2014
Last updated Mar 4th, 2014 - 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.

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