Laurel, Kathleen A

Laurel, Kathleen A is an individual health care provider with primary practice located at 629 N 13Th Ave , Upland CA 91786-4906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Laurel, Kathleen A can be contacted via phone (909) 985-2709.

Contact Information

Primary practice address
629 N 13Th Ave Upland CA 91786-4906
Phone: (909) 985-2709
Fax: (909) 985-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16020 California

Profile Details

NPI number 1134131394
LBN Legal business name Laurel, Kathleen A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jun 30th, 2016 - about 9 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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