Gwaltney, Kellie

Gwaltney, Kellie is an sole proprietor health care provider with primary practice located at 3400 Avenue Of The Arts Apt. #G317, Costa Mesa CA 92626-1927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gwaltney, Kellie can be contacted via phone (307) 871-9333.

Contact Information

Primary practice address
3400 Avenue Of The Arts Apt. #G317 Costa Mesa CA 92626-1927
Phone: (307) 871-9333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 235651 California

Profile Details

NPI number 1013315563
LBN Legal business name Gwaltney, Kellie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2014
Last updated Dec 16th, 2014 - about 11 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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