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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1558364778 NPPES
Maryland MEDICAID 119591300

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