Lynch, Kelly Grommersch

Lynch, Kelly Grommersch is an individual health care provider with primary practice located at 3400C Old Milton Pkwy Ste 290 , Alpharetta GA 30005-4438. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lynch, Kelly Grommersch can be contacted via phone (770) 667-4343.

Contact Information

Primary practice address
3400C Old Milton Pkwy Ste 290 Alpharetta GA 30005-4438
Phone: (770) 667-4343
Fax: (770) 772-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19544 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19544 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN208756 Georgia

Profile Details

NPI number 1295110310
LBN Legal business name Lynch, Kelly Grommersch
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Mar 7th, 2018 - about 8 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 1295110310 NPPES
South Carolina MEDICAID NP3344

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