Ivey, Karen Belinda

Ivey, Karen Belinda is an individual health care provider with primary practice located at 3999 Austell Rd Ste 901 , Austell GA 30106-1160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty.

Contact Information

Primary practice address
3999 Austell Rd Ste 901 Austell GA 30106-1160
Phone:
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN106643 Georgia

Profile Details

NPI number 1760463517
LBN Legal business name Ivey, Karen Belinda
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 16th, 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 1760463517 NPPES
Georgia MEDICAID 352012332A
Georgia MEDICAID 352012332B

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