Anderson, Kellie Coplin

Anderson, Kellie Coplin is an individual health care provider with primary practice located at 401 Lowell Dr Se Ste 5 , Huntsville AL 35801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Kellie Coplin can be contacted via phone (256) 265-1775.

Contact Information

Primary practice address
401 Lowell Dr Se Ste 5 Huntsville AL 35801
Phone: (256) 265-1775
Fax: (256) 265-1780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-083086 Alabama

Profile Details

NPI number 1720216906
LBN Legal business name Anderson, Kellie Coplin
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2009
Last updated Nov 20th, 2018 - about 8 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 1720216906 NPPES
Alabama MEDICAID 199998

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