Kelley, Evelyn G

Kelley, Evelyn G is an individual health care provider with primary practice located at 30420 Haun Rd , Menifee CA 92584-6810. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kelley, Evelyn G can be contacted via phone (951) 676-4193.

Contact Information

Primary practice address
30420 Haun Rd Menifee CA 92584-6810
Phone: (951) 676-4193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95022181 California

Profile Details

NPI number 1710569694
LBN Legal business name Kelley, Evelyn G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Mar 6th, 2024 - about 8 months 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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