Kelly, Rosine
Kelly, Rosine is an individual health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Kelly, Rosine can be contacted via phone (479) 314-5175.Contact Information
Primary practice address
7301 Rogers Ave
Fort Smith AR 72903-4100
Phone: (479) 314-5175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AC00390 | Maryland |
Profile Details
| NPI number | 1962675181 |
|---|---|
| LBN Legal business name | Kelly, Rosine |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | May 1st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962675181 | NPPES |
| Arkansas | MEDICAID | 207090758 |
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