Kelly, Jared Robert
Kelly, Jared Robert is an individual health care provider with primary practice located at 612 Mocksville Ave , Salisbury NC 28144-2732. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kelly, Jared Robert can be contacted via phone (818) 391-7794.Contact Information
Primary practice address
612 Mocksville Ave
Salisbury NC 28144-2732
Phone: (818) 391-7794
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0010-08856 | North Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0010-08856 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 0010-08856 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-08856 | North Carolina |
Profile Details
| NPI number | 1497215248 |
|---|---|
| LBN Legal business name | Kelly, Jared Robert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Oct 26th, 2020 - about 6 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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