Ennis, Kelsey Lauren
Ennis, Kelsey Lauren is an sole proprietor health care provider with primary practice located at 1417 2Nd St Ste D , Santa Monica CA 90401-2399. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Ennis, Kelsey Lauren can be contacted via phone (646) 650-5337.Contact Information
Primary practice address
1417 2Nd St Ste D
Santa Monica CA 90401-2399
Phone: (646) 650-5337
Fax: (646) 871-6820
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | R0133249 | Oklahoma |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 0024180210 | Virginia |
Profile Details
NPI number | 1033724372 |
---|---|
LBN Legal business name | Ennis, Kelsey Lauren |
Credentials | CNM, WHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2020 |
Last updated | Mar 15th, 2024 - about 6 months 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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