Kelly, Joseph Anthony

Kelly, Joseph Anthony is an individual health care provider with primary practice located at Naval Hospital Jacksonville 2080 Child St, Jacksonville FL 32214-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kelly, Joseph Anthony can be contacted via phone (904) 542-7856.

Contact Information

Primary practice address
Naval Hospital Jacksonville 2080 Child St Jacksonville FL 32214-0001
Phone: (904) 542-7856
Fax: (904) 542-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN282245L Pennsylvania

Profile Details

NPI number 1154395267
LBN Legal business name Kelly, Joseph Anthony
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 20th, 2015 - about 11 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 1154395267 NPPES
Georgia MEDICAID 833855377C
Georgia MEDICAID 833855377B
Georgia MEDICAID 30800005-00
Georgia MEDICAID 833855377A

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