Brenner, Kelly Evelyn

Brenner, Kelly Evelyn is an individual health care provider with primary practice located at 23845 Holman Hwy Ste 203 , Monterey CA 93940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brenner, Kelly Evelyn can be contacted via phone (831) 241-9155.

Contact Information

Primary practice address
23845 Holman Hwy Ste 203 Monterey CA 93940
Phone: (831) 241-9155
Fax: (831) 241-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3854 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 56134 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA062568 Pennsylvania

Profile Details

NPI number 1790019040
LBN Legal business name Brenner, Kelly Evelyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2009
Last updated Oct 11th, 2021 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790019040 NPPES
Massachusetts Other PA3854 MASSACHUSETTS REGISTRATION
Massachusetts Other PA570 MASSACHUSETTS REGISTRATION

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