Phillips, Kelsie
Phillips, Kelsie is an individual health care provider with primary practice located at 708 Del Prado Blvd S Ste 7 , Cape Coral FL 33990-2676. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Phillips, Kelsie can be contacted via phone (239) 424-3660.Contact Information
Primary practice address
708 Del Prado Blvd S Ste 7
Cape Coral FL 33990-2676
Phone: (239) 424-3660
Fax: (239) 424-3663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9223560 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9223560 | Florida |
Profile Details
NPI number | 1033534995 |
---|---|
LBN Legal business name | Phillips, Kelsie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2014 |
Last updated | Oct 11th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033534995 | NPPES |
Florida | MEDICAID | 110846500 |
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