Floriano, Kelly Rae

Floriano, Kelly Rae is an individual health care provider with primary practice located at 1711 S Stephenson Ave Suite 225, Iron Mountain MI 49801-3639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Floriano, Kelly Rae can be contacted via phone (906) 776-5860.

Contact Information

Primary practice address
1711 S Stephenson Ave Suite 225 Iron Mountain MI 49801-3639
Phone: (906) 776-5860
Fax: (906) 776-5833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003478 Michigan

Profile Details

NPI number 1669581161
LBN Legal business name Floriano, Kelly Rae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669581161 NPPES
Michigan Other 5220024 BCBSM PIN
Michigan Other 381875190 BCBSM PIN
Michigan Other 5601003478 BCBSM PIN
Michigan Other 0852915090 BCBSM PIN
Michigan Other P01025991 BCBSM PIN

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