Mike Sean Kelly NP

NPI 1003206004 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1003206004
Gender Male
Enumeration Date 01/28/2015
Last Updated 01/28/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
COSTA MESA CA, 92627-1906, US
Phone (949) 722-7118
Fax (949) 722-7118
Business Location
COSTA MESA CA, 92627-1509, US
Phone (949) 722-7118
Fax (949) 722-7119
Taxonomy Code 363LP0808X
License State California
License Number 95001913
Remove 1003206004 NPI Number

According to our database, Mr. Mike Sean Kelly NP NPI is 1003206004, taxonomy code is 363LP0808X and license number is 95001913, license state is located at California. Mike Sean Kelly NP physically located at 275 Victoria St, Costa Mesa CA, 92627-1906. NPI Number Mike Sean Kelly NP has the Individual type.

Sponsored links

1003206004 NPI number is provided on an as is basis without warranty of any kind. 1003206004 is maintained by the National Plan & Provider Enumeration System. The contents of Mike Sean Kelly NP are for informational purposes only.