Acosta, Kellie

Acosta, Kellie is an sole proprietor health care provider with primary practice located at 275 N Chorro St Apt E, San Luis Obispo CA 93405-3320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Acosta, Kellie can be contacted via phone (808) 640-2660.

Contact Information

Primary practice address
275 N Chorro St Apt E San Luis Obispo CA 93405-3320
Phone: (808) 640-2660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 53123 California

Profile Details

NPI number 1053777342
LBN Legal business name Acosta, Kellie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2016
Last updated Jan 3rd, 2016 - about 10 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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