Kelley, Ellen L

Kelley, Ellen L is an individual health care provider with primary practice located at 72780 Country Club Dr Bldg B 203, Rancho Mirage CA 92270-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Kelley, Ellen L can be contacted via phone (760) 674-3847.

Contact Information

Primary practice address
72780 Country Club Dr Bldg B 203 Rancho Mirage CA 92270-4126
Fax: (760) 674-3845
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 300549 California

Profile Details

NPI number 1588878623
LBN Legal business name Kelley, Ellen L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Feb 25th, 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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