Kelley, Sandra K

Kelley, Sandra K is an individual health care provider with primary practice located at 1900 10Th Ave Suite 200, Columbus GA 31901-3600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelley, Sandra K can be contacted via phone (706) 653-8556.

Contact Information

Primary practice address
1900 10Th Ave Suite 200 Columbus GA 31901-3600
Phone: (706) 653-8556
Fax: (706) 653-9778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-081115 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN067940 Georgia

Profile Details

NPI number 1699731679
LBN Legal business name Kelley, Sandra K
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 13th, 2013 - about 13 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 1699731679 NPPES
Alabama Other 515-30502 BLUE CROSS OF AL PROV #
Alabama MEDICAID 891010421 BLUE CROSS OF AL PROV #

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