Josephsen, Kelly Ann

Josephsen, Kelly Ann is an individual health care provider with primary practice located at 816 Camino Real Unit 201 , Redondo Beach CA 90277-4307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Josephsen, Kelly Ann can be contacted via phone (310) 740-0589.

Contact Information

Primary practice address
816 Camino Real Unit 201 Redondo Beach CA 90277-4307
Phone: (310) 740-0589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1134368095
LBN Legal business name Josephsen, Kelly Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Feb 5th, 2010 - about 14 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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