Hernandez, Kelli Kaye

Hernandez, Kelli Kaye is an sole proprietor health care provider with primary practice located at 700 S Tustin St , Orange CA 92866-3425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hernandez, Kelli Kaye can be contacted via phone (714) 922-4100.

Contact Information

Primary practice address
700 S Tustin St Orange CA 92866-3425
Phone: (714) 922-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21159 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21159 California

Profile Details

NPI number 1639489727
LBN Legal business name Hernandez, Kelli Kaye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2010
Last updated Apr 19th, 2021 - 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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