Miles, Kelley Olivia

Miles, Kelley Olivia is an individual health care provider with primary practice located at 2550 23Rd Street Building 9, 2Nd Floor, San Francisco CA 94110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Miles, Kelley Olivia can be contacted via phone (415) 206-3887.

Contact Information

Primary practice address
2550 23Rd Street Building 9, 2Nd Floor San Francisco CA 94110
Phone: (415) 206-3887
Fax: (415) 206-3373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60290894 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP-22661 California

Profile Details

NPI number 1336400514
LBN Legal business name Miles, Kelley Olivia
Credentials NP(NURSE PRACTITIONE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Aug 22nd, 2014 - about 12 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 1336400514 NPPES
Washington MEDICAID 2017920

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