Qualters, Kelley

Qualters, Kelley is an individual health care provider with primary practice located at 21 Grand St , South Portland ME 04106-2217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Qualters, Kelley can be contacted via phone (781) 893-6014.

Contact Information

Primary practice address
21 Grand St South Portland ME 04106-2217
Phone: (781) 893-6014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 309069 New York

Profile Details

NPI number 1124761671
LBN Legal business name Qualters, Kelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2022
Last updated Apr 13th, 2022 - about 4 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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