Caudill, Breanna Kelly
Caudill, Breanna Kelly is an individual health care provider with primary practice located at 127 Health Care Dr , Pennington Gap VA 24277-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caudill, Breanna Kelly can be contacted via phone (276) 299-5000.Contact Information
Primary practice address
127 Health Care Dr
Pennington Gap VA 24277-2853
Phone: (276) 299-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024179089 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 27535 | Tennessee |
Profile Details
| NPI number | 1831716240 |
|---|---|
| LBN Legal business name | Caudill, Breanna Kelly |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2020 |
| Last updated | Dec 12th, 2023 - about 3 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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