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KELLY S AIKENS NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1558876565
Individual Registrant: KELLY S AIKENS NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
777 HEMLOCK ST MACON, GA 31201-2102 US
Tel: 478-633-1000 Fax: --
Tel: 478-633-1000 Fax: --
Contact information for business:
777 HEMLOCK ST MACON, GA 31201-2102 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1558876565
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | ME | CNP181218 |
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | RN214581 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
