National Provider Identifier Database

KELLY E EARNEST, CPNP – NPI #1366437238
Pediatrics


Contact Information

KELLY E EARNEST, CPNP
2100 W CLINCH AVE
SUITE 310
KNOXVILLE, TN37916-2219
Phone: 865-637-8481
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for KELLY E EARNEST

NPI Number 1366437238
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 09/15/2005
Last updated 05/15/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • GA License #: RN115204
  • KY License #: 3200P
  • TN License #: 13454
  • KY Medicaid: 78004405
  • KY Other: 000000179284 ID BLUE CROSS INSURANCE
  • KY Other: 50006858 PASSPORT NON-PARTICIPATE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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