Rosanbalm, Kellie Alicia
Rosanbalm, Kellie Alicia is an individual health care provider with primary practice located at 793 Eastern Byp Ste 213 , Richmond KY 40475-2440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rosanbalm, Kellie Alicia can be contacted via phone (859) 624-6501.Contact Information
Primary practice address
793 Eastern Byp Ste 213
Richmond KY 40475-2440
Phone: (859) 624-6501
Fax: (859) 624-6509
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3009144 | Kentucky |
Profile Details
NPI number | 1184015323 |
---|---|
LBN Legal business name | Rosanbalm, Kellie Alicia |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 10th, 2015 |
Last updated | Dec 1st, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184015323 | NPPES |
Kentucky | MEDICAID | 7100399020 |
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