King, Kelley L

King, Kelley L is an individual health care provider with primary practice located at 4401 Bradshaw Rd , Sacramento CA 95827-3835. 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. King, Kelley L can be contacted via phone (916) 732-5243.

Contact Information

Primary practice address
4401 Bradshaw Rd Sacramento CA 95827-3835
Phone: (916) 732-5243
Fax: (916) 366-3206
Website:
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Health care specialties

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

Profile Details

NPI number 1760452130
LBN Legal business name King, Kelley L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Mar 17th, 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 1760452130 NPPES
California Other PA17317 STATE LICENSE

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