Kelly, Tammy Boyette

Kelly, Tammy Boyette is an individual health care provider with primary practice located at 7051 Alvarado Rd , La Mesa CA 91942-8901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kelly, Tammy Boyette can be contacted via phone (619) 460-7775.

Contact Information

Primary practice address
7051 Alvarado Rd La Mesa CA 91942-8901
Phone: (619) 460-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003655 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9107316 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-02138 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA54682 California

Profile Details

NPI number 1215267349
LBN Legal business name Kelly, Tammy Boyette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2010
Last updated Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215267349 NPPES
Other 1215267349 TRICARE/HEALTHNET
Other Y0J7G TRICARE/HEALTHNET
MEDICAID 009498400 TRICARE/HEALTHNET

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