Nielsen, Kellie

Nielsen, Kellie is an individual health care provider with primary practice located at 803 Russell Blvd , Davis CA 95616-3426. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Nielsen, Kellie can be contacted via phone (530) 391-8670.

Contact Information

Primary practice address
803 Russell Blvd Davis CA 95616-3426
Phone: (530) 391-8670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 296763 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 296763 California

Profile Details

NPI number 1548813280
LBN Legal business name Nielsen, Kellie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548813280 NPPES
California Other 296763 PHYSICAL THERAPY BOARD OF CALIFORNIA

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