Rose, Kelli Marie

Rose, Kelli Marie is an individual health care provider with primary practice located at 1551 Bishop St Suite 520, San Luis Obispo CA 93401-4635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Rose, Kelli Marie can be contacted via phone (805) 543-2744.

Contact Information

Primary practice address
1551 Bishop St Suite 520 San Luis Obispo CA 93401-4635
Fax: (805) 543-0539
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A134727 California

Profile Details

NPI number 1407028798
LBN Legal business name Rose, Kelli Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Oct 17th, 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 1407028798 NPPES
California Other CB235871 MEDICARE PTAN
California MEDICAID 1407028798 MEDICARE PTAN

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