Gillette, Kelley Corenne

Gillette, Kelley Corenne is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gillette, Kelley Corenne can be contacted via phone (954) 558-7097.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027
Phone: (954) 558-7097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 143943 California

Profile Details

NPI number 1619364577
LBN Legal business name Gillette, Kelley Corenne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2015
Last updated Mar 18th, 2019 - about 7 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.

Request for update

Popular Providers