Kelly, Carol Lynne

Kelly, Carol Lynne is an individual health care provider with primary practice located at 1405 Anne St Nw , Bemidji MN 56601-5113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kelly, Carol Lynne can be contacted via phone (218) 368-7795.

Contact Information

Primary practice address
1405 Anne St Nw Bemidji MN 56601-5113
Fax: (218) 444-9252
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 89344-0 Minnesota

Profile Details

NPI number 1780939314
LBN Legal business name Kelly, Carol Lynne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2012
Last updated Dec 27th, 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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