Debar, Kelley

Debar, Kelley is an individual health care provider with primary practice located at 92 Ratliff St , Lucedale MS 39452-6537. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Debar, Kelley can be contacted via phone (601) 947-8181.

Contact Information

Primary practice address
92 Ratliff St Lucedale MS 39452-6537
Phone: (601) 947-8181
Fax: (601) 947-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R859003 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R859003 Mississippi

Profile Details

NPI number 1942609664
LBN Legal business name Debar, Kelley
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2014
Last updated Nov 22nd, 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 1942609664 NPPES
Mississippi Other R859003 STATE LICENSURE

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