Kerouac, Michelle Irene

Kerouac, Michelle Irene is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kerouac, Michelle Irene can be contacted via phone (619) 532-9021.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-9021
Fax: (619) 532-8598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 763720 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95001678 California

Profile Details

NPI number 1801868500
LBN Legal business name Kerouac, Michelle Irene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 21st, 2020 - about 5 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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