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
Fax: (478) 922-6530
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124687348 NPPES
Georgia Other RN250344 RN
Georgia Other 201913531 RN

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