Whitlow, Kelly S

Whitlow, Kelly S is an individual health care provider with primary practice located at 5151 N 9Th Ave , Pensacola FL 32504-8721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Whitlow, Kelly S can be contacted via phone (850) 416-7000.

Contact Information

Primary practice address
5151 N 9Th Ave Pensacola FL 32504-8721
Phone: (850) 416-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1089940 Alabama

Profile Details

NPI number 1184685000
LBN Legal business name Whitlow, Kelly S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 28th, 2009 - about 15 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 1184685000 NPPES
Louisiana MEDICAID 1772321
Louisiana MEDICAID 306782300
Louisiana Other 51526568
Louisiana MEDICAID 009985275
Louisiana MEDICAID 229991328A

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