Ross, Kelley A
Ross, Kelley A is an individual health care provider with primary practice located at 127 Crestview Park Dr Ste 114 , Dickson TN 37055-2854. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ross, Kelley A can be contacted via phone (615) 441-4549.Contact Information
Primary practice address
127 Crestview Park Dr Ste 114
Dickson TN 37055-2854
Phone: (615) 441-4549
Fax: (615) 441-4544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN15129 | Tennessee |
Profile Details
| NPI number | 1265741946 |
|---|---|
| LBN Legal business name | Ross, Kelley A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2010 |
| Last updated | Apr 16th, 2021 - about 3 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 | 1265741946 | NPPES |
| Tennessee | MEDICAID | 1521302 |
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