Simone, Kelly K.

Simone, Kelly K. is an individual health care provider with primary practice located at 777 Avenue H , Powell WY 82435-2260. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Simone, Kelly K. can be contacted via phone (307) 754-2267.

Contact Information

Primary practice address
777 Avenue H Powell WY 82435-2260
Phone: (307) 754-2267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA313 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA313 Wyoming

Profile Details

NPI number 1770529703
LBN Legal business name Simone, Kelly K.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 29th, 2024 - about 2 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 1770529703 NPPES
Wyoming MEDICAID 106133017

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