Collins, Kellie

Collins, Kellie is an individual health care provider with primary practice located at 4516 Sw Yamada Dr , Port St Lucie FL 34953-8518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Collins, Kellie can be contacted via phone (772) 336-2161.

Contact Information

Primary practice address
4516 Sw Yamada Dr Port St Lucie FL 34953-8518
Phone: (772) 336-2161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1946582 Florida

Profile Details

NPI number 1013026517
LBN Legal business name Collins, Kellie
Credentials A.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 16th, 2016 - about 10 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 1013026517 NPPES
Florida Other ARNP1946582 LICENSE

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