Katsura, Kelly Mika

Katsura, Kelly Mika is an sole proprietor health care provider with primary practice located at 2640 Telegraph Ave , Berkeley CA 94704-3374. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Katsura, Kelly Mika can be contacted via phone (510) 848-6494.

Contact Information

Primary practice address
2640 Telegraph Ave Berkeley CA 94704-3374
Phone: (510) 848-6494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DDS107420 California

Profile Details

NPI number 1598340622
LBN Legal business name Katsura, Kelly Mika
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2021
Last updated Jul 13th, 2023 - about 2 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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