Masten, Kelly Jo

Masten, Kelly Jo is an individual health care provider with primary practice located at 2175 W 16Th St Unit D , Safford AZ 85546-0842. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Masten, Kelly Jo can be contacted via phone (928) 651-6372.

Contact Information

Primary practice address
2175 W 16Th St Unit D Safford AZ 85546-0842
Phone: (928) 651-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Obstetric, Inpatient 163WX0003X RN212349 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 304698 Arizona

Profile Details

NPI number 1871292789
LBN Legal business name Masten, Kelly Jo
Credentials APRN-RNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2023
Last updated Mar 5th, 2024 - about 8 months 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 1871292789 NPPES
Arizona MEDICAID 304698
Arizona MEDICAID RN212349

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