Ms Sharon Kay Kelly, NP | |
3201 W 6th St, Los Angeles, CA 90020-5001 | |
(888) 227-3312 | |
Not Available |
Full Name | Ms Sharon Kay Kelly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 3201 W 6th St, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790774057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NPF9993 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9993 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Facey Medical Foundation | 3173436276 | 274 |
Carbon Health Medical Group Of California Pc | 9032340047 | 289 |
Entity Name | Providence Facey Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Entity Name | Carbon Health Medical Group Of California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276 |
Mailing Address | Practice Location Address |
---|---|
Ms Sharon Kay Kelly, NP File 50670, Los Angeles, CA 90074-0670 Ph: (888) 227-3312 | Ms Sharon Kay Kelly, NP 3201 W 6th St, Los Angeles, CA 90020-5001 Ph: (888) 227-3312 |
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