Morales, Kellie

Morales, Kellie is an sole proprietor health care provider with primary practice located at 204 E Beach St , Watsonville CA 95076-4809. 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. Morales, Kellie can be contacted via phone (831) 728-0222.

Contact Information

Primary practice address
204 E Beach St Watsonville CA 95076-4809
Phone: (831) 728-0222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61013 California

Profile Details

NPI number 1093385213
LBN Legal business name Morales, Kellie
Credentials MSPAS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2021
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1093385213 NPPES
California Other PA61013 PHYSICIAN ASSISTANT BOARD

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