Lewis, Kelly Jo

Lewis, Kelly Jo is an individual health care provider with primary practice located at 1510 N Stockton Hill Rd , Kingman AZ 86401-5173. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lewis, Kelly Jo can be contacted via phone (928) 753-1177.

Contact Information

Primary practice address
1510 N Stockton Hill Rd Kingman AZ 86401-5173
Phone: (928) 753-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 307837 Arizona

Profile Details

NPI number 1104389451
LBN Legal business name Lewis, Kelly Jo
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated May 29th, 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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