CAROLYN SUE KELLEY APRN NPI 1811470974

NPI Information

NPI: 1811470974
Provider Name: CAROLYN SUE KELLEY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
19002 BUG SCUFFLE RD
WEST FORK, AR
ZIP 72774
Phone: (479) 761-0171
Get Directions

Carolyn Sue Kelley, APRN is a family nurse practitioner in West Fork, AR. Carolyn Sue Kelley, APRN NPI is 1811470974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19002 BUG SCUFFLE RD
WEST FORK, AR
ZIP 72774-878
Phone: (479) 761-0171

The NPI 1811470974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2018 and was last updated on 9/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A005921	ARKANSAS	Yes
2	163W00000X	Registered Nurse		R089667	ARKANSAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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