Harden, Kelly Alexandria

Harden, Kelly Alexandria is an individual health care provider with primary practice located at 105 N Monroe St , Newbern TN 38059-1214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harden, Kelly Alexandria can be contacted via phone (731) 627-0734.

Contact Information

Primary practice address
105 N Monroe St Newbern TN 38059-1214
Phone: (731) 627-0734
Fax: (731) 627-0736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Tennessee

Profile Details

NPI number 1194723056
LBN Legal business name Harden, Kelly Alexandria
Credentials DNSC, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 21st, 2008 - about 18 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 1194723056 NPPES
Tennessee MEDICAID 3902763

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