Simmons, Kelli J

Simmons, Kelli J is an individual health care provider with primary practice located at 420 Delaware Street Southeast Mayo Mail Code 450, Minneapolis MN 55455. 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. Simmons, Kelli J can be contacted via phone (612) 626-5919.

Contact Information

Primary practice address
420 Delaware Street Southeast Mayo Mail Code 450 Minneapolis MN 55455
Phone: (612) 626-5919
Fax: (612) 625-4406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X R183718-8 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 093545 Missouri

Profile Details

NPI number 1336186048
LBN Legal business name Simmons, Kelli J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 17th, 2010 - about 16 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 1336186048 NPPES
Missouri Other P00104707 RR MEDICARE
Missouri MEDICAID 427483300 RR MEDICARE

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