Kelly, Marypat

Kelly, Marypat is an individual health care provider with primary practice located at 80 Great Oaks Blvd , San Jose CA 95119-1310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kelly, Marypat can be contacted via phone (408) 363-3000.

Contact Information

Primary practice address
80 Great Oaks Blvd San Jose CA 95119-1310
Phone: (408) 363-3000
Fax: (408) 363-3082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 15112 California

Profile Details

NPI number 1043289523
LBN Legal business name Kelly, Marypat
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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