Kelly Henson Channell, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN117407 Issued in GA

Practice address

700 Sunset Dr
Suite 602
Athens, GA 30606-2293

Phone

(706) 353-0711

Fax

(706) 613-8454

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780746255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "address_2": "SUITE 602",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062293",
            "telephone_number": "706-353-0711",
            "fax_number": "706-613-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR",
            "address_2": "SUITE 602",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062293",
            "telephone_number": "706-353-0711",
            "fax_number": "706-613-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNELL",
        "first_name": "KELLY",
        "middle_name": "HENSON",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN117407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler EMS, LLC
• Cynthia Chandler, RN
• Kimberly Chandler, PTA
• Leah Brooke Chandley, ATC
• Kuang Shah Chang, MD
• Sudeep Chapagain, MD
• Swetha Priya Chaparala, MD
• Amanda Lynn Chapman, R.PH.
• Jennifer Emily Chapman, PT, DPT
• Clay H Chappell, MD

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.