Swofford, Kelly
Swofford, Kelly is an sole proprietor health care provider with primary practice located at 2451 S Fm 51 Ste 200 , Decatur TX 76234-3860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Swofford, Kelly can be contacted via phone (940) 627-2409.Contact Information
Primary practice address
2451 S Fm 51 Ste 200
Decatur TX 76234-3860
Phone: (940) 627-2409
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP136080 | Texas |
Profile Details
| NPI number | 1770099194 |
|---|---|
| LBN Legal business name | Swofford, Kelly |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2017 |
| Last updated | Apr 30th, 2019 - about 7 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 | 1770099194 | NPPES |
| Texas | MEDICAID | 379873801 | |
| Texas | Other | 8HW711 |
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