Kelley, Angela Denise Kitchens

Kelley, Angela Denise Kitchens is an individual health care provider with primary practice located at 4411 Oakwood Dr , Chattanooga TN 37416-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kelley, Angela Denise Kitchens can be contacted via phone (423) 892-4289.

Contact Information

Primary practice address
4411 Oakwood Dr Chattanooga TN 37416-2367
Phone: (423) 892-4289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN085412 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN0000018133 Tennessee

Profile Details

NPI number 1184845505
LBN Legal business name Kelley, Angela Denise Kitchens
Credentials RN, MSN, GNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 30th, 2016 - about 10 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 1184845505 NPPES
Tennessee Other 103G709374 MEDICARE PTAN

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