Kelly, Virginia Lane

Kelly, Virginia Lane is an individual health care provider with primary practice located at 2121 Medical Centre Way Suite 100, Knoxville TN 37920. 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, Virginia Lane can be contacted via phone (606) 337-3051.

Contact Information

Primary practice address
2121 Medical Centre Way Suite 100 Knoxville TN 37920
Phone: (606) 337-3051
Fax: (606) 337-2871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1072826/4024A Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 14631 Tennessee

Profile Details

NPI number 1184619306
LBN Legal business name Kelly, Virginia Lane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184619306 NPPES
Kentucky MEDICAID 74006362
Kentucky Other 000000276584
Kentucky Other P00078424

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