Stauter, Kelly Jeannette

Stauter, Kelly Jeannette is an individual health care provider with primary practice located at 2451 Fillingim St 3Rd Floor, Mobile AL 36617-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stauter, Kelly Jeannette can be contacted via phone (251) 471-7944.

Contact Information

Primary practice address
2451 Fillingim St 3Rd Floor Mobile AL 36617-2238
Phone: (251) 471-7944
Fax: (251) 471-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-071676 Alabama

Profile Details

NPI number 1801822374
LBN Legal business name Stauter, Kelly Jeannette
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 9th, 2013 - about 13 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 1801822374 NPPES
Alabama Other 511-01530 BLUE CROSS OF AL

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