Grant, Kelly Kirkman

Grant, Kelly Kirkman is an individual health care provider with primary practice located at 510 N Elam Ave Ste 202 , Greensboro NC 27403-1177. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grant, Kelly Kirkman can be contacted via phone (336) 299-3183.

Contact Information

Primary practice address
510 N Elam Ave Ste 202 Greensboro NC 27403-1177
Phone: (336) 299-3183
Fax: (336) 299-1762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200614 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200614 North Carolina

Profile Details

NPI number 1649274002
LBN Legal business name Grant, Kelly Kirkman
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 24th, 2018 - about 8 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 1649274002 NPPES
North Carolina Other 200614 PE#

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