Rosebrock, Kelley Ann
Rosebrock, Kelley Ann is an individual health care provider with primary practice located at 704 Gold Hill Rd Suite 1200, Fort Mill SC 29715-8906. 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. Rosebrock, Kelley Ann can be contacted via phone (704) 667-3380.Contact Information
Primary practice address
704 Gold Hill Rd Suite 1200
Fort Mill SC 29715-8906
Phone: (704) 667-3380
Fax: (704) 667-3381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 212050 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0050-02423 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 19252 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19252 | South Carolina |
Profile Details
| NPI number | 1376682195 |
|---|---|
| LBN Legal business name | Rosebrock, Kelley Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Feb 22nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376682195 | NPPES |
| North Carolina | MEDICAID | 1376682195 | |
| North Carolina | MEDICAID | 7004104 | |
| North Carolina | MEDICAID | NP1197 |
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