Rosebrock, Kelley Ann

Rosebrock, Kelley Ann is an individual health care provider with primary practice located at 704 Gold Hill Rd Suite 1200, Fort Mill SC 29715-8906. 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. Rosebrock, Kelley Ann can be contacted via phone (704) 667-3380.

Contact Information

Primary practice address
704 Gold Hill Rd Suite 1200 Fort Mill SC 29715-8906
Phone: (704) 667-3380
Fax: (704) 667-3381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 212050 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0050-02423 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19252 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19252 South Carolina

Profile Details

NPI number 1376682195
LBN Legal business name Rosebrock, Kelley Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 22nd, 2017 - about 7 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 1376682195 NPPES
North Carolina MEDICAID 1376682195
North Carolina MEDICAID 7004104
North Carolina MEDICAID NP1197

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