Leli, Kimberly Ann

Leli, Kimberly Ann is an individual health care provider with primary practice located at 243 Georgia Street Suite B, Vallejo CA 94590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Leli, Kimberly Ann can be contacted via phone (707) 556-8100.

Contact Information

Primary practice address
243 Georgia Street Suite B Vallejo CA 94590
Phone: (707) 556-8100
Fax: (707) 556-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPF3165 California

Profile Details

NPI number 1871696377
LBN Legal business name Leli, Kimberly Ann
Credentials NPF
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 12th, 2013 - about 13 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 1871696377 NPPES
California MEDICAID FHC11991F

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