Tulp, Kelly Lucille

Tulp, Kelly Lucille is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Tulp, Kelly Lucille can be contacted via phone (919) 966-4643.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27514-4226
Phone: (919) 966-4643
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA107723 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 001010811 North Carolina

Profile Details

NPI number 1629494364
LBN Legal business name Tulp, Kelly Lucille
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2014
Last updated Jun 30th, 2022 - 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 1629494364 NPPES
Florida MEDICAID 016594100

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