Shannon, Kelly

Shannon, Kelly is an individual health care provider with primary practice located at 669 W Tramonto Dr , Mountain House CA 95391-1243. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shannon, Kelly can be contacted via phone (210) 878-7220.

Contact Information

Primary practice address
669 W Tramonto Dr Mountain House CA 95391-1243
Phone: (210) 878-7220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 724598 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95004710 California

Profile Details

NPI number 1265886071
LBN Legal business name Shannon, Kelly
Credentials MSN, RN, FNP-BC, CEN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2016
Last updated Sep 7th, 2016 - about 8 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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