Provider Demographics
NPI:1275792111
Name:SINGH, KELLI L (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:L
Last Name:SINGH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:L
Other - Last Name:CUSHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:109 HOSPITAL DRIVE
Mailing Address - Street 2:OWASA FAMILY MEDICINE
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-2067
Mailing Address - Country:US
Mailing Address - Phone:706-625-0333
Mailing Address - Fax:706-625-1269
Practice Address - Street 1:109 HOSPITAL DRIVE
Practice Address - Street 2:OWASA FAMILY MEDICINE
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701-2067
Practice Address - Country:US
Practice Address - Phone:706-625-0333
Practice Address - Fax:706-625-1269
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN134406 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily