Jenkins, Kelly Shaffer
Jenkins, Kelly Shaffer is an sole proprietor health care provider with primary practice located at 627 E Washington St , Nashville NC 27856-1737. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jenkins, Kelly Shaffer can be contacted via phone (252) 459-5565.Contact Information
Primary practice address
627 E Washington St
Nashville NC 27856-1737
Phone: (252) 459-5565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2603 | North Carolina |
Profile Details
| NPI number | 1043330020 |
|---|---|
| LBN Legal business name | Jenkins, Kelly Shaffer |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Aug 13th, 2025 - about last year |
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 | 1043330020 | NPPES |
| Other | 75289 | BCBS | |
| MEDICAID | 7201148 | BCBS |
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