O'Brien, Kelly Renee

O'Brien, Kelly Renee is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. O'Brien, Kelly Renee can be contacted via phone (541) 440-1000.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97471
Phone: (541) 440-1000
Fax: (541) 440-1230
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 200450145NP Oregon

Profile Details

NPI number 1609893395
LBN Legal business name O'Brien, Kelly Renee
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2022 - about 4 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 1609893395 NPPES
Oregon Other 93-1148588 EMPLOYER IDENTIFICATION

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