Kilrain, Kellie Ann

Kilrain, Kellie Ann is an individual health care provider with primary practice located at 3118 S Lafountain St , Kokomo IN 46902-3710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kilrain, Kellie Ann can be contacted via phone (765) 864-4160.

Contact Information

Primary practice address
3118 S Lafountain St Kokomo IN 46902-3710
Phone: (765) 864-4160
Fax: (844) 397-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71004200A Indiana

Profile Details

NPI number 1255682894
LBN Legal business name Kilrain, Kellie Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2012
Last updated Jan 24th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255682894 NPPES
Indiana MEDICAID 201166040

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