Stephens, Kelly Marie

Stephens, Kelly Marie is an sole proprietor health care provider with primary practice located at 2755 Alamo St Ste 101 , Simi Valley CA 93065-1311. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stephens, Kelly Marie can be contacted via phone (801) 361-7757.

Contact Information

Primary practice address
2755 Alamo St Ste 101 Simi Valley CA 93065-1311
Phone: (801) 361-7757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 711642 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19629 California

Profile Details

NPI number 1144543695
LBN Legal business name Stephens, Kelly Marie
Credentials RN, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2010
Last updated Feb 2nd, 2011 - about 15 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 1144543695 NPPES
California Other 1144543695 NPI

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