Doub, Kelly M

Doub, Kelly M is an individual health care provider with primary practice located at 2122 Manchester Expressway , Columbus GA 31904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Doub, Kelly M can be contacted via phone (706) 320-2773.

Contact Information

Primary practice address
2122 Manchester Expressway Columbus GA 31904
Phone: (706) 320-2773
Fax: (706) 596-4226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 0024169365 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN226465 Georgia

Profile Details

NPI number 1700179900
LBN Legal business name Doub, Kelly M
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Aug 10th, 2015 - about 11 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 1700179900 NPPES
Alabama MEDICAID 167215
Alabama MEDICAID 003129046E

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