Minihane, Kelly R
Minihane, Kelly R is an individual health care provider with primary practice located at 3027 N Circle Dr , Colorado Springs CO 80909-1179. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Minihane, Kelly R can be contacted via phone (719) 776-3216.Contact Information
Primary practice address
3027 N Circle Dr
Colorado Springs CO 80909-1179
Phone: (719) 776-3216
Fax: (719) 776-3220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-003885 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0002078 | Colorado |
Profile Details
| NPI number | 1487622205 |
|---|---|
| LBN Legal business name | Minihane, Kelly R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Nov 29th, 2021 - about 5 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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