Individual
SEAN PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC
Contact information
Practice address
2000 10TH AVE, SUITE 270, COLUMBUS, GA 31901-3700
(706) 571-1011
(706) 992-6595
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 221-3132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP228991
GA
363L00000X
Nurse Practitioner
CRNP 1-114327
AL
Other
Enumeration date
01/10/2012
Last updated
10/28/2025
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