Kelley, Rosemarie
Kelley, Rosemarie is an individual health care provider with primary practice located at 1441 Florida Ave Doctor'S Medical Center - Neuro Icu, Modesto CA 95350-4405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kelley, Rosemarie can be contacted via phone (209) 576-3872.Contact Information
Primary practice address
1441 Florida Ave Doctor'S Medical Center - Neuro Icu
Modesto CA 95350-4405
Phone: (209) 576-3872
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA13565 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA13565 | California |
Profile Details
NPI number | 1407942097 |
---|---|
LBN Legal business name | Kelley, Rosemarie |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2006 |
Last updated | Apr 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407942097 | NPPES |
California | Other | CD069A | GROUP PTAN |
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