Kelly, Sukeshini P
Kelly, Sukeshini P is an sole proprietor health care provider with primary practice located at 2033 E Colunga St , Colton CA 92324-7510. She recently has 9 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Case Management, Nursing Service Providers / Cardiac Rehabilitation, Nursing Service Providers / Emergency, Nursing Service Providers / Maternal Newborn, Nursing Service Providers / Neonatal Intensive Care, Nursing Service Providers / Urology, Nursing Service Providers / Wound Care, Nursing Service Providers / Ostomy Care. Nursing Service Providers / Critical Care Medicine is her primary health care specialty. Kelly, Sukeshini P can be contacted via phone (909) 872-1113.Contact Information
Primary practice address
2033 E Colunga St
Colton CA 92324-7510
Phone: (909) 872-1113
Fax: (909) 872-1113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 482520 | California |
| Nursing Service Providers / Case Management | 163WC0400X | 482520 | California |
| Nursing Service Providers / Cardiac Rehabilitation | 163WC3500X | 482520 | California |
| Nursing Service Providers / Emergency | 163WE0003X | 482520 | California |
| Nursing Service Providers / Maternal Newborn | 163WM0102X | 482520 | California |
| Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 482520 | California |
| Nursing Service Providers / Urology | 163WU0100X | 482520 | California |
| Nursing Service Providers / Wound Care | 163WW0000X | 482520 | California |
| Nursing Service Providers / Ostomy Care | 163WX1500X | 482520 | California |
Profile Details
| NPI number | 1063610590 |
|---|---|
| LBN Legal business name | Kelly, Sukeshini P |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063610590 | NPPES |
| California | MEDICAID | EPS016950 | |
| California | MEDICAID | RVN005060 |
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