King, Kelly Ann

King, Kelly Ann is an individual health care provider with primary practice located at 1835 Oddie Blvd , Sparks NV 89431-3559. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. King, Kelly Ann can be contacted via phone (775) 982-5140.

Contact Information

Primary practice address
1835 Oddie Blvd Sparks NV 89431-3559
Phone: (775) 982-5140
Fax: (775) 982-5141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11634 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11634 Nevada

Profile Details

NPI number 1659355410
LBN Legal business name King, Kelly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Feb 24th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659355410 NPPES
Nevada Other 12274748 CAQH
Nevada MEDICAID 1659355410 CAQH

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