Webster, Kellie S

Webster, Kellie S is an individual health care provider with primary practice located at 865 N Arizola Rd , Casa Grande AZ 85122-6011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Webster, Kellie S can be contacted via phone (520) 836-3446.

Contact Information

Primary practice address
865 N Arizola Rd Casa Grande AZ 85122-6011
Phone: (520) 836-3446
Fax: (520) 836-8807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TAP3280 Arizona

Profile Details

NPI number 1942440805
LBN Legal business name Webster, Kellie S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2009
Last updated Nov 29th, 2012 - about 13 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 1942440805 NPPES
Arizona MEDICAID 425346
Arizona Other ZFQ31815
Arizona Other 03-31815
Arizona Other Z90638

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