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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1184015323 NPPES
Kentucky MEDICAID 7100399020

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