Tina C Kelley, is a
Student In An Organized Health Care Education/training Program based in Grass Valley, California. Tina C Kelley is licensed to practice in * (Not Available) (license number ) and her current practice location is
13608 Day Rd, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(805) 674-8634.
NPI number for Tina C Kelley is 1083768881 and her current mailing address is 13608 Day Rd, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083768881.
Healthcare Provider's Profile
Full Name | Tina C Kelley |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 13608 Day Rd, Grass Valley, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083768881
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 10/15/2024
Medical Identifiers
Medical identifiers for Tina C Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083768881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT51575 (California) | 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. Tina C Kelley 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 |
Tina C Kelley, 13608 Day Rd, Grass Valley, CA 95945-9695 Ph: (805) 674-8634 | Tina C Kelley, 13608 Day Rd, Grass Valley, CA 95945-9695 Ph: (805) 674-8634 |
Reviews and Comments