SUKESHINI P KELLY RN NPI 1063610590

NPI Information

NPI: 1063610590
Provider Name: SUKESHINI P KELLY, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
2033 E COLUNGA ST
COLTON, CA
ZIP 92324
Phone: (909) 872-1113
Get Directions

Sukeshini P Kelly, RN is a critical care medicine registered nurse in Colton, CA. Sukeshini P Kelly, RN NPI is 1063610590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2033 E COLUNGA ST
COLTON, CA
ZIP 92324-510
Phone: (909) 872-1113
Fax: (909) 872-1113

The enumeration date for this NPI number is 7/5/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	482520	CALIFORNIA	Yes
2	163WC0400X	Registered Nurse	Case Management	482520	CALIFORNIA	X
3	163WC3500X	Registered Nurse	Cardiac Rehabilitation	482520	CALIFORNIA	X
4	163WE0003X	Registered Nurse	Emergency	482520	CALIFORNIA	X
5	163WM0102X	Registered Nurse	Maternal Newborn	482520	CALIFORNIA	X
6	163WN0002X	Registered Nurse	Neonatal Intensive Care	482520	CALIFORNIA	X
7	163WU0100X	Registered Nurse	Urology	482520	CALIFORNIA	X
8	163WW0000X	Registered Nurse	Wound Care	482520	CALIFORNIA	X
9	163WX1500X	Registered Nurse	Ostomy Care	482520	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RVN005060	MEDICAID	CALIFORNIA
2	EPS016950	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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