Kelly, Kristen

Kelly, Kristen is an sole proprietor health care provider with primary practice located at 55 Schanck Rd Suite 8A, Freehold NJ 07728-2964. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kelly, Kristen can be contacted via phone (732) 431-9544.

Contact Information

Primary practice address
55 Schanck Rd Suite 8A Freehold NJ 07728-2964
Phone: (732) 431-9544
Fax: (732) 431-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NR08801200 New Jersey

Profile Details

NPI number 1457403313
LBN Legal business name Kelly, Kristen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jan 11th, 2011 - about 15 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 1457403313 NPPES
New Jersey Other 016539PJN MEDICARE NUMBER

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