Mcauliffe, Kelly S

Mcauliffe, Kelly S is an individual health care provider with primary practice located at 15769 Wc Main St , Midlothian VA 23113-7327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcauliffe, Kelly S can be contacted via phone (804) 419-9760.

Contact Information

Primary practice address
15769 Wc Main St Midlothian VA 23113-7327
Phone: (804) 419-9760
Fax: (804) 378-9140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024166669 Virginia

Profile Details

NPI number 1629168745
LBN Legal business name Mcauliffe, Kelly S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 23rd, 2016 - about 9 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 1629168745 NPPES
Virginia Other C05728 GROUP PTAN
Virginia Other C05727 GROUP PTAN
Virginia Other C05726 GROUP PTAN

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