Noonan, Kellie Jean Fox
Noonan, Kellie Jean Fox is an individual health care provider with primary practice located at 635 E Main St , Salisbury MD 21804-5021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Noonan, Kellie Jean Fox can be contacted via phone (443) 754-1675.Contact Information
Primary practice address
635 E Main St
Salisbury MD 21804-5021
Phone: (443) 754-1675
Fax: (883) 449-3796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R114595 | Maryland |
Profile Details
| NPI number | 1558364778 |
|---|---|
| LBN Legal business name | Noonan, Kellie Jean Fox |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 7th, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558364778 | NPPES |
| Maryland | MEDICAID | 119591300 |
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