Knollmann, Kelly

Knollmann, Kelly is an individual health care provider with primary practice located at 2710 Rife Medical Ln , Rogers AR 72758-1452. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Knollmann, Kelly can be contacted via phone (479) 338-8000.

Contact Information

Primary practice address
2710 Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 338-8000
Fax: (913) 381-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X C01545 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C01545 Arkansas

Profile Details

NPI number 1982635116
LBN Legal business name Knollmann, Kelly
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982635116 NPPES
Arkansas Other 5Y795 BCBS OF ARKANSAS

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