Gonzales, Kelly D

Gonzales, Kelly D is an sole proprietor health care provider with primary practice located at 4282 Genesee Ave Ste 103 , San Diego CA 92117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gonzales, Kelly D can be contacted via phone (858) 292-0108.

Contact Information

Primary practice address
4282 Genesee Ave Ste 103 San Diego CA 92117
Phone: (858) 292-0108
Fax: (858) 292-9097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95002691 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95002691 California

Profile Details

NPI number 1194109702
LBN Legal business name Gonzales, Kelly D
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2015
Last updated Jun 12th, 2018 - about 8 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