Garland, Kelli S

Garland, Kelli S is an individual health care provider with primary practice located at 6285 S Higley Rd , Gilbert AZ 85298-4262. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Garland, Kelli S can be contacted via phone (480) 460-4949.

Contact Information

Primary practice address
6285 S Higley Rd Gilbert AZ 85298-4262
Phone: (480) 460-4949
Fax: (480) 460-5858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN098924 Arizona

Profile Details

NPI number 1750411203
LBN Legal business name Garland, Kelli S
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 30th, 2020 - about 6 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 1750411203 NPPES
Arizona MEDICAID 490045

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