Newsome, Kelly L

Newsome, Kelly L is an individual health care provider with primary practice located at 105 Medical Plz , Sulphur Springs TX 75482-2136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Newsome, Kelly L can be contacted via phone (903) 885-5439.

Contact Information

Primary practice address
105 Medical Plz Sulphur Springs TX 75482-2136
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 688654 Texas

Profile Details

NPI number 1639364409
LBN Legal business name Newsome, Kelly L
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Aug 6th, 2015 - about 11 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 1639364409 NPPES
Texas MEDICAID 206333102

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