Individual provider · Type 1 NPI
Kelly Anne Kallis, CFNP
Nurse Practitioner · Fayetteville, GA
Practice location
101 Yorktown Dr
Fayetteville, GA 30214-1568
Mailing address
PO Box 102321
Atlanta, GA 30368-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 119187 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1831244417
Kelly Anne Kallis, CFNP's National Provider Identifier is 1831244417, issued on Jan 24, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 17, 2011.