King, Kelli A L
King, Kelli A L is an individual health care provider with primary practice located at 1021 S Cottonwood St , North Platte NE 69101-6138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. King, Kelli A L can be contacted via phone (308) 534-4438.Contact Information
Primary practice address
1021 S Cottonwood St
North Platte NE 69101-6138
Phone: (308) 534-4438
Fax: (308) 534-4190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 110673 | Nebraska |
Profile Details
| NPI number | 1841357076 |
|---|---|
| LBN Legal business name | King, Kelli A L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Mar 23rd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841357076 | NPPES |
| Nebraska | Other | DV8242 | MEDICARE RR FOR BUSINESS |
| Nebraska | MEDICAID | 100264810-00 | MEDICARE RR FOR BUSINESS |
| Nebraska | Other | P01500120 | MEDICARE RR FOR BUSINESS |
| Nebraska | Other | 38966 | MEDICARE RR FOR BUSINESS |
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