Bean, Kelly
Bean, Kelly is an individual health care provider with primary practice located at 3410 Futures Dr , South Sioux City NE 68776-3917. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bean, Kelly can be contacted via phone (712) 252-2477.Contact Information
Primary practice address
3410 Futures Dr
South Sioux City NE 68776-3917
Phone: (712) 252-2477
Fax: (712) 252-5920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A-105358 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 110826 | Nebraska |
Profile Details
| NPI number | 1801992532 |
|---|---|
| LBN Legal business name | Bean, Kelly |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 27th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801992532 | NPPES |
| Nebraska | Other | 110826 | NE APRN LICENSE |
| Nebraska | Other | A-105358 | NE APRN LICENSE |
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