Kelley, Carla

Kelley, Carla is an individual health care provider with primary practice located at 726 4Th St , Marysville CA 95901-5656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kelley, Carla can be contacted via phone (530) 749-4300.

Contact Information

Primary practice address
726 4Th St Marysville CA 95901-5656
Phone: (530) 749-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 646369 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA2506 California

Profile Details

NPI number 1932136199
LBN Legal business name Kelley, Carla
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Nov 1st, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932136199 NPPES
Texas MEDICAID 141720603
Texas Other P00266245

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