Corley, Kelly
Corley, Kelly is an individual health care provider with primary practice located at 2201 S Clear Creek Rd , Killeen TX 76549-4110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Corley, Kelly can be contacted via phone (832) 651-2110.Contact Information
Primary practice address
2201 S Clear Creek Rd
Killeen TX 76549-4110
Phone: (832) 651-2110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 706062 | Texas |
Profile Details
| NPI number | 1518122969 |
|---|---|
| LBN Legal business name | Corley, Kelly |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2008 |
| Last updated | Feb 8th, 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 | 1518122969 | NPPES |
| Texas | Other | 706062 | LICENSE |
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