Kelly, Casey

Kelly, Casey is an individual health care provider with primary practice located at 2200 Tydd St , Eureka CA 95501-1284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelly, Casey can be contacted via phone (707) 269-7051.

Contact Information

Primary practice address
2200 Tydd St Eureka CA 95501-1284
Phone: (707) 269-7051
Fax: (707) 269-7054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 20196 California

Profile Details

NPI number 1205076015
LBN Legal business name Kelly, Casey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2009
Last updated Feb 10th, 2017 - about 9 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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