Mckelvey, Freda Elaine

Mckelvey, Freda Elaine is an individual health care provider with primary practice located at 654 Saint Louis Ave , Fort Worth TX 76104-3358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckelvey, Freda Elaine can be contacted via phone (817) 386-9818.

Contact Information

Primary practice address
654 Saint Louis Ave Fort Worth TX 76104-3358
Phone: (817) 386-9818
Fax: (817) 386-9821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 595902 Texas

Profile Details

NPI number 1922084557
LBN Legal business name Mckelvey, Freda Elaine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 5th, 2011 - about 15 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 1922084557 NPPES
Texas MEDICAID 174434405

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