Jones, Kalli M
Jones, Kalli M is an individual health care provider with primary practice located at 2844 W Edgewood Dr , Port Angeles WA 98363-9510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jones, Kalli M can be contacted via phone (360) 460-9493.Contact Information
Primary practice address
2844 W Edgewood Dr
Port Angeles WA 98363-9510
Phone: (360) 460-9493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 14383 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP60691562 | Washington |
Profile Details
| NPI number | 1043546021 |
|---|---|
| LBN Legal business name | Jones, Kalli M |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2009 |
| Last updated | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043546021 | NPPES |
| Tennessee | MEDICAID | 1516075 |
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