Anderson, Kelly
Anderson, Kelly is an sole proprietor health care provider with primary practice located at 13030 Colonial Dr , Rancho Cucamonga CA 91739-8866. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Anderson, Kelly can be contacted via phone (310) 367-6963.Contact Information
Primary practice address
13030 Colonial Dr
Rancho Cucamonga CA 91739-8866
Phone: (310) 367-6963
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN95245715 | California |
Profile Details
| NPI number | 1295583979 |
|---|---|
| LBN Legal business name | Anderson, Kelly |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2024 |
| Last updated | May 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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