Thompson-Brazill, Kelly A
Thompson-Brazill, Kelly A is an individual health care provider with primary practice located at 2100 Stantonsburg Rd Trauma & Surgical Critical Care, 2Nd Floor Ed Tower, Greenville NC 27834-2818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Thompson-Brazill, Kelly A can be contacted via phone (252) 847-4299.Contact Information
Primary practice address
2100 Stantonsburg Rd Trauma & Surgical Critical Care, 2Nd Floor Ed Tower
Greenville NC 27834-2818
Phone: (252) 847-4299
Fax: (252) 847-8208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 960051 | North Carolina |
Profile Details
| NPI number | 1699752717 |
|---|---|
| LBN Legal business name | Thompson-Brazill, Kelly A |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699752717 | NPPES |
| North Carolina | MEDICAID | 7003697 |
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