Nelson, Kelly Cobb
Nelson, Kelly Cobb is an sole proprietor health care provider with primary practice located at 1203 Bombay Ln , Roswell GA 30076-5822. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Nelson, Kelly Cobb can be contacted via phone (770) 851-9553.Contact Information
Primary practice address
1203 Bombay Ln
Roswell GA 30076-5822
Phone: (770) 851-9553
Fax: (770) 698-4178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT03452 | Georgia |
Profile Details
| NPI number | 1679638977 |
|---|---|
| LBN Legal business name | Nelson, Kelly Cobb |
| Credentials | MS OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1679638977 | NPPES |
| Georgia | Other | 930130 | BCBS PIN |
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