Tapp, Kellye L

Tapp, Kellye L is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tapp, Kellye L can be contacted via phone (270) 825-7200.

Contact Information

Primary practice address
200 Clinic Dr Madisonville KY 42431-1661
Phone: (270) 825-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4080P Kentucky

Profile Details

NPI number 1972540276
LBN Legal business name Tapp, Kellye L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 7th, 2023 - 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 1972540276 NPPES
Kentucky Other 4080P MEDICAL LICENSE
Kentucky Other P00047148 MEDICAL LICENSE
Kentucky MEDICAID 78010675 MEDICAL LICENSE
Kentucky Other 000000314656 MEDICAL LICENSE

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