Keller, Kelly A

Keller, Kelly A is an individual health care provider with primary practice located at 420 Whitehall Rd Apt B , Alameda CA 94501-6135. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Keller, Kelly A can be contacted via phone (510) 589-9902.

Contact Information

Primary practice address
420 Whitehall Rd Apt B Alameda CA 94501-6135
Phone: (510) 589-9902
Fax: (510) 263-8565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12688 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12688 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12688 California

Profile Details

NPI number 1952307381
LBN Legal business name Keller, Kelly A
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 12th, 2016 - about 8 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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