Perdomo, Kelly
Perdomo, Kelly is an individual health care provider with primary practice located at 3369 Buford Hwy Ne Ste 810 , Brookhaven GA 30329-3722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perdomo, Kelly can be contacted via phone (404) 321-4692.Contact Information
Primary practice address
3369 Buford Hwy Ne Ste 810
Brookhaven GA 30329-3722
Phone: (404) 321-4692
Fax: (404) 321-4366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN222479 | Georgia |
Profile Details
| NPI number | 1669917985 |
|---|---|
| LBN Legal business name | Perdomo, Kelly |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Jul 21st, 2022 - about 3 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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