Johnson, Kelly Laine

Johnson, Kelly Laine is an sole proprietor health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Kelly Laine can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 497-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 695748 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 19162 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19162 California

Profile Details

NPI number 1689984239
LBN Legal business name Johnson, Kelly Laine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2010
Last updated Mar 10th, 2023 - 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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