Kailey, Herleen K
Kailey, Herleen K is an sole proprietor health care provider with primary practice located at 1191 E Yosemite Ave Suite B, Manteca CA 95336-5011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kailey, Herleen K can be contacted via phone (209) 823-8158.Contact Information
Primary practice address
1191 E Yosemite Ave Suite B
Manteca CA 95336-5011
Phone: (209) 823-8158
Fax: (209) 823-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A42917 | California |
Profile Details
| NPI number | 1073574026 |
|---|---|
| LBN Legal business name | Kailey, Herleen K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073574026 | NPPES |
| California | MEDICAID | 00A429170 |
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