Higgins, Kelly

Higgins, Kelly is an sole proprietor health care provider with primary practice located at 89 W Copeland Dr , Orlando FL 32806-2028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Higgins, Kelly can be contacted via phone (407) 841-5281.

Contact Information

Primary practice address
89 W Copeland Dr Orlando FL 32806-2028
Phone: (407) 841-5281
Fax: (407) 648-9879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1930852 Florida

Profile Details

NPI number 1497769657
LBN Legal business name Higgins, Kelly
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated May 23rd, 2017 - about 9 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 1497769657 NPPES
Florida MEDICAID 305002500

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