Doyle-Matta, Kelly

Doyle-Matta, Kelly is an sole proprietor health care provider with primary practice located at 2201 Courage Dr , Fairfield CA 94533-6733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Doyle-Matta, Kelly can be contacted via phone (707) 784-2010.

Contact Information

Primary practice address
2201 Courage Dr Fairfield CA 94533-6733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10957 California

Profile Details

NPI number 1598952335
LBN Legal business name Doyle-Matta, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Mar 17th, 2012 - about 12 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.

Request for update

Popular Providers