Kelly, Rita Helen

Kelly, Rita Helen is an individual health care provider with primary practice located at 1140 Carthage St , Sanford NC 27330-4161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kelly, Rita Helen can be contacted via phone (919) 775-2304.

Contact Information

Primary practice address
1140 Carthage St Sanford NC 27330-4161
Fax: (919) 775-4050
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 129 North Carolina

Profile Details

NPI number 1659309409
LBN Legal business name Kelly, Rita Helen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 26th, 2012 - about 13 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 1659309409 NPPES
North Carolina MEDICAID 7000050

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