Kelly L Mckerahan D O A Professional Medical Corporation
LBN: Kelly L Mckerahan D O A Professional Medical Corporation
Kelly L Mckerahan D O A Professional Medical Corporation is an health care organization with primary practice located at 25095 Jefferson Ave Ste 202 , Murrieta CA 92562-9107. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Kelly L Mckerahan D O A Professional Medical Corporation can be contacted via phone (951) 696-9566, or through Mckerahan, Kelly Lee via phone (951) 696-9566.
Contact Information
Primary practice address
25095 Jefferson Ave Ste 202
Murrieta CA 92562-9107
Phone: (951) 696-9566
Fax: (951) 696-9536
Website:
Authorized official contact:
Name: Mckerahan, Kelly Lee Doctor of Osteopathy (DO)
Phone: (951) 696-9566
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 20A6780 | California |
Profile Details
| NPI number | 1508110503 |
|---|---|
| LBN Legal business name | Kelly L Mckerahan D O A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Mckerahan, Kelly Lee Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2012 |
| Last updated | Nov 13th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508110503 | NPPES |
| Other | GQ212A | PTAN |
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