Acevedo, Kelly C

Acevedo, Kelly C is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Acevedo, Kelly C can be contacted via phone (704) 512-5363.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 512-5363
Fax: (704) 512-2428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 2854 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2854 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 249757 North Carolina

Profile Details

NPI number 1497886956
LBN Legal business name Acevedo, Kelly C
Credentials RN, MSN, GNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jun 18th, 2013 - 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 1497886956 NPPES
North Carolina MEDICAID 7005508
North Carolina MEDICAID NP1093
North Carolina Other P00813613

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