Pendergrass, Kellye Lynne
Pendergrass, Kellye Lynne is an individual health care provider with primary practice located at 6000 W Highway 98 , Pensacola FL 32512-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pendergrass, Kellye Lynne can be contacted via phone (850) 505-6199.Contact Information
Primary practice address
6000 W Highway 98
Pensacola FL 32512-0001
Phone: (850) 505-6199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1804142 | Florida |
Profile Details
| NPI number | 1992776256 |
|---|---|
| LBN Legal business name | Pendergrass, Kellye Lynne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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