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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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