KELLY HENSON CHANNELL N.P. NPI 1780746255

NPI Information

  • NPI: 1780746255
  • Provider Name: KELLY HENSON CHANNELL, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 700 SUNSET DR
    SUITE 602
    ATHENS, GA
    ZIP 30606
  • Phone: (706) 353-0711

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NPI Details

Kelly Henson Channell, N.P. is a family nurse practitioner in Athens, GA. Kelly Henson Channell, N.P. NPI is 1780746255. 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:

700 SUNSET DR
SUITE 602
ATHENS, GA
ZIP 30606-293
Phone: (706) 353-0711
Fax: (706) 613-8454

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/9/2007.

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
1363LF0000XNurse PractitionerFamilyRN117407GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S77700MEDICARE UPINGEORGIA
250BBJCRMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE NUMBER

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: 3/30/2025

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