Jeffries, Kelsey Marie
Jeffries, Kelsey Marie is an individual health care provider with primary practice located at 306 W Aero Dr , Payson AZ 85541-5405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jeffries, Kelsey Marie can be contacted via phone (928) 466-4242.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 263498 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209578 | Oklahoma |
Profile Details
| NPI number | 1639840382 |
|---|---|
| LBN Legal business name | Jeffries, Kelsey Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2021 |
| Last updated | Mar 10th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639840382 | NPPES |
| Oklahoma | MEDICAID | 20112620A |
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