Owen, Kelly

Owen, Kelly is an individual health care provider with primary practice located at 4646 Brockton Ave Ste 203 , Riverside CA 92506-0104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Owen, Kelly can be contacted via phone (951) 394-7028.

Contact Information

Primary practice address
4646 Brockton Ave Ste 203 Riverside CA 92506-0104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP95019278 California

Profile Details

NPI number 1255082673
LBN Legal business name Owen, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2022
Last updated Jun 5th, 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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