Kelley, Rosemarie

Kelley, Rosemarie is an individual health care provider with primary practice located at 1441 Florida Ave Doctor'S Medical Center - Neuro Icu, Modesto CA 95350-4405. 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 / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kelley, Rosemarie can be contacted via phone (209) 576-3872.

Contact Information

Primary practice address
1441 Florida Ave Doctor'S Medical Center - Neuro Icu Modesto CA 95350-4405
Phone: (209) 576-3872
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13565 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA13565 California

Profile Details

NPI number 1407942097
LBN Legal business name Kelley, Rosemarie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 1st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407942097 NPPES
California Other CD069A GROUP PTAN

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