Squires, Kelly Maines

Squires, Kelly Maines is an individual health care provider with primary practice located at 23 Sunnybrook Rd , Raleigh NC 27610-1855. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Squires, Kelly Maines can be contacted via phone (919) 235-6435.

Contact Information

Primary practice address
23 Sunnybrook Rd Raleigh NC 27610-1855
Phone: (919) 235-6435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 246271 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5010058 North Carolina

Profile Details

NPI number 1497268320
LBN Legal business name Squires, Kelly Maines
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Apr 13th, 2021 - 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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