Kelly, Amy Henderson

Kelly, Amy Henderson is an individual health care provider with primary practice located at 1001 Blythe Blvd , Charlotte NC 28203-5866. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kelly, Amy Henderson can be contacted via phone (704) 381-9900.

Contact Information

Primary practice address
1001 Blythe Blvd Charlotte NC 28203-5866
Phone: (704) 381-9900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 300250 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300250 North Carolina

Profile Details

NPI number 1528067238
LBN Legal business name Kelly, Amy Henderson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 5th, 2024 - about 2 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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