Kushinka, Kelli Marie
Kushinka, Kelli Marie is an individual health care provider with primary practice located at 116 S Houston Rd , Warner Robins GA 31088-3904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kushinka, Kelli Marie can be contacted via phone (478) 923-0131.Contact Information
Primary practice address
116 S Houston Rd
Warner Robins GA 31088-3904
Phone: (478) 923-0131
Fax: (478) 922-6530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN250344 | Georgia |
Profile Details
| NPI number | 1124687348 |
|---|---|
| LBN Legal business name | Kushinka, Kelli Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2019 |
| Last updated | Jun 11th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124687348 | NPPES |
| Georgia | Other | RN250344 | RN |
| Georgia | Other | 201913531 | RN |
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