Shields, Kelly

Shields, Kelly is an sole proprietor health care provider with primary practice located at 3343 4Th Ave , San Diego CA 92103-5703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shields, Kelly can be contacted via phone (619) 299-0840.

Contact Information

Primary practice address
3343 4Th Ave San Diego CA 92103-5703
Phone: (619) 299-0840
Fax: (619) 299-0892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X CNM12240 California

Profile Details

NPI number 1265638993
LBN Legal business name Shields, Kelly
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated Jul 8th, 2007 - about 18 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 1265638993 NPPES
California Other 619131 RN LICENSE

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