Peck, Kelly Teresa
Peck, Kelly Teresa is an individual health care provider with primary practice located at 36921 Cook St Ste 102 , Palm Desert CA 92211-6070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Peck, Kelly Teresa can be contacted via phone (760) 836-9066.Contact Information
Primary practice address
36921 Cook St Ste 102
Palm Desert CA 92211-6070
Phone: (760) 836-9066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95022984 | California |
Profile Details
| NPI number | 1235856071 |
|---|---|
| LBN Legal business name | Peck, Kelly Teresa |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2022 |
| Last updated | Oct 24th, 2022 - about 2 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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