Rawls, Kelly E

Rawls, Kelly E is an individual health care provider with primary practice located at 205 Hospital Dr Suite A, Mc Kenzie TN 38201-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rawls, Kelly E can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Suite A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000002369 Tennessee

Profile Details

NPI number 1013359538
LBN Legal business name Rawls, Kelly E
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2013
Last updated Aug 26th, 2016 - about 9 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 1013359538 NPPES
Tennessee MEDICAID Q010586

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