Fredericks, Kelsey Horner
Fredericks, Kelsey Horner is an individual health care provider with primary practice located at 2018 Clinch Ave , Knoxville TN 37916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fredericks, Kelsey Horner can be contacted via phone (865) 541-8266.Contact Information
Primary practice address
2018 Clinch Ave
Knoxville TN 37916
Phone: (865) 541-8266
Fax: (865) 541-8553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 20848 | Tennessee |
Profile Details
| NPI number | 1922450758 |
|---|---|
| LBN Legal business name | Fredericks, Kelsey Horner |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2016 |
| Last updated | Feb 14th, 2025 - about last year |
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 | 1922450758 | NPPES |
| Tennessee | MEDICAID | Q049909 |
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