Taylor, Kelly Elizabeth

Taylor, Kelly Elizabeth is an individual health care provider with primary practice located at 835 Austin Dr , Demorest GA 30535-4513. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Taylor, Kelly Elizabeth can be contacted via phone (706) 754-8518.

Contact Information

Primary practice address
835 Austin Dr Demorest GA 30535-4513
Phone: (706) 754-8518
Fax: (706) 754-6238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hospice 163WH1000X RN184594 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN184594 Georgia

Profile Details

NPI number 1326388430
LBN Legal business name Taylor, Kelly Elizabeth
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2013
Last updated Aug 26th, 2021 - about 5 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 1326388430 NPPES
Georgia MEDICAID 003131770A
Georgia MEDICAID 003131770C
Georgia MEDICAID 003131770B
Georgia Other 765694
Georgia Other 01796153

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