Kelly, Tammy Boyette
Kelly, Tammy Boyette is an individual health care provider with primary practice located at 7051 Alvarado Rd , La Mesa CA 91942-8901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelly, Tammy Boyette can be contacted via phone (619) 460-7775.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110003655 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9107316 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0010-02138 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA54682 | California |
Profile Details
| NPI number | 1215267349 |
|---|---|
| LBN Legal business name | Kelly, Tammy Boyette |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2010 |
| Last updated | Oct 26th, 2018 - about 6 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 | 1215267349 | NPPES |
| Other | 1215267349 | TRICARE/HEALTHNET | |
| Other | Y0J7G | TRICARE/HEALTHNET | |
| MEDICAID | 009498400 | TRICARE/HEALTHNET |
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