Toler, Kelly W

Toler, Kelly W is an individual health care provider with primary practice located at 2400 Bellevue Rd 16 Erin Ofc Park, Dublin GA 31021-2885. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Toler, Kelly W can be contacted via phone (478) 275-2694.

Contact Information

Primary practice address
2400 Bellevue Rd 16 Erin Ofc Park Dublin GA 31021-2885
Phone: (478) 275-2694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003418 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003418 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 003418 Georgia

Profile Details

NPI number 1083608244
LBN Legal business name Toler, Kelly W
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 11th, 2015 - about 9 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 1083608244 NPPES
Georgia MEDICAID 479070329B
Georgia Other DC4061

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