Craig, Kellianne
Craig, Kellianne is an individual health care provider with primary practice located at 1691 The Alameda , San Jose CA 95126-2203. 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. Craig, Kellianne can be contacted via phone (408) 287-7526.Contact Information
Primary practice address
1691 The Alameda
San Jose CA 95126-2203
Phone: (408) 287-7526
Fax: (408) 971-6963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 52170 | California |
Profile Details
| NPI number | 1386041960 |
|---|---|
| LBN Legal business name | Craig, Kellianne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2014 |
| Last updated | Nov 27th, 2015 - about 11 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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