Mazurek, Kelly Green

Mazurek, Kelly Green is an sole proprietor health care provider with primary practice located at 4510 Viewridge Ave , San Diego CA 92123. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Mazurek, Kelly Green can be contacted via phone (866) 413-1582.

Contact Information

Primary practice address
4510 Viewridge Ave San Diego CA 92123
Phone: (866) 413-1582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A149649 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487915203
LBN Legal business name Mazurek, Kelly Green
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2012
Last updated Nov 29th, 2021 - about 5 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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