Cicotte, Kelly
Cicotte, Kelly is an sole proprietor health care provider with primary practice located at 483 N Aviation Blvd , El Segundo CA 90245-2808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cicotte, Kelly can be contacted via phone (310) 653-2873.Contact Information
Primary practice address
483 N Aviation Blvd
El Segundo CA 90245-2808
Phone: (310) 653-2873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1194751 |
Profile Details
| NPI number | 1891382719 |
|---|---|
| LBN Legal business name | Cicotte, Kelly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2020 |
| Last updated | Apr 12th, 2022 - about 4 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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