Gonzales, Kelly De

Gonzales, Kelly De is an individual health care provider with primary practice located at 150 N Jackson Ave Suite 100, San Jose CA 95116-1908. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Gonzales, Kelly De can be contacted via phone (408) 769-5340.

Contact Information

Primary practice address
150 N Jackson Ave Suite 100 San Jose CA 95116-1908
Phone: (408) 769-5340
Fax: (408) 729-3719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 258365 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X A109752 California
Allopathic & Osteopathic Physicians / Surgery 208600000X AH19180185639 Massachusetts

Profile Details

NPI number 1184899874
LBN Legal business name Gonzales, Kelly De
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Jun 20th, 2024 - about 2 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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