Kelly Tran, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Kelly Tran is licensed to practice in * (Not Available) (license number ) and her current practice location is
1555 Parkmoor Ave, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 282-0402.
NPI number for Kelly Tran is 1003496977 and her current mailing address is 1555 Parkmoor Ave, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003496977.
Healthcare Provider's Profile
| Full Name | Kelly Tran |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1555 Parkmoor Ave, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003496977
- Provider Enumeration Date: 04/13/2021
- Last Update Date: 06/12/2023
Medical Identifiers
Medical identifiers for Kelly Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003496977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Tran is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Tran,
1555 Parkmoor Ave,
San Jose, CA 95128-2407
Ph: (408) 282-0402 | Kelly Tran,
1555 Parkmoor Ave,
San Jose, CA 95128-2407
Ph: (408) 282-0402 |
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