Yarbrough-Yale, Kelley Renee'

Yarbrough-Yale, Kelley Renee' is an sole proprietor health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Yarbrough-Yale, Kelley Renee' can be contacted via phone (817) 702-8144.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X AP135676 Texas

Profile Details

NPI number 1538944830
LBN Legal business name Yarbrough-Yale, Kelley Renee'
Credentials DNP, APRN, ACCNS-AG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2023
Last updated Aug 28th, 2023 - about last year

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 1538944830 NPPES
Other 22200425 CERTIFIED DIABETES CARE & EDUCATION SPECIALIST (CDCES)

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