Greene, Kelly A

Greene, Kelly A is an individual health care provider with primary practice located at 638 Old Historic Us 441 Suite B, Demorest GA 30535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greene, Kelly A can be contacted via phone (770) 501-3830.

Contact Information

Primary practice address
638 Old Historic Us 441 Suite B Demorest GA 30535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X GAA-NP001940 Georgia

Profile Details

NPI number 1831968437
LBN Legal business name Greene, Kelly A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2023
Last updated Jan 4th, 2024 - about 2 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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