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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629168745 | NPPES |
Virginia | Other | C05728 | GROUP PTAN |
Virginia | Other | C05727 | GROUP PTAN |
Virginia | Other | C05726 | GROUP PTAN |
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