Harris, Kelly Rae

Harris, Kelly Rae is an sole proprietor health care provider with primary practice located at 16515 S 40Th St Ste 135 , Phoenix AZ 85048-0560. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harris, Kelly Rae can be contacted via phone (480) 556-0446.

Contact Information

Primary practice address
16515 S 40Th St Ste 135 Phoenix AZ 85048-0560
Phone: (480) 556-0446
Fax: (480) 556-0447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN173398 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8587 Arizona

Profile Details

NPI number 1851753255
LBN Legal business name Harris, Kelly Rae
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2016
Last updated Dec 18th, 2019 - about 7 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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