King, Kelly

King, Kelly is an individual health care provider with primary practice located at 1700 W Van Buren St , Chicago IL 60612-5500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. King, Kelly can be contacted via phone (312) 942-1050.

Contact Information

Primary practice address
1700 W Van Buren St Chicago IL 60612-5500
Phone: (312) 942-1050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041290158 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209026137 Illinois

Profile Details

NPI number 1447962378
LBN Legal business name King, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2022
Last updated Jun 20th, 2023 - about 3 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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