Paradise, Kelly Shannon
Paradise, Kelly Shannon is an individual health care provider with primary practice located at 2806 W Us Highway 90 Suite 102, Lake City FL 32055-4745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Paradise, Kelly Shannon can be contacted via phone (386) 438-8391.Contact Information
Primary practice address
2806 W Us Highway 90 Suite 102
Lake City FL 32055-4745
Phone: (386) 438-8391
Fax: (386) 438-8629
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9191569 | Florida |
Profile Details
NPI number | 1407116544 |
---|---|
LBN Legal business name | Paradise, Kelly Shannon |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2012 |
Last updated | Jul 10th, 2012 - about 12 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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