KATHY ROCHELLE O'KELLEY NP NPI 1801107313

NPI Information

NPI: 1801107313
Provider Name: KATHY ROCHELLE O'KELLEY, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: WOUND MASTERS MEDICAL GROUP INC

PECOS Registration: Yes

Address:
27522 ANTONIO PKWY STE P3
LADERA RANCH, CA
ZIP 92694
Phone: (949) 813-3596
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Kathy Rochelle O'kelley, NP is a family nurse practitioner in Ladera Ranch, CA with 20 years of experience. Kathy Rochelle O'kelley, NP NPI is 1801107313. 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:

27522 ANTONIO PKWY STE P3
LADERA RANCH, CA
ZIP 92694-166
Phone: (949) 813-3596

The NPI 1801107313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 1/1/2020.

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	363LF0000X	Nurse Practitioner	Family	19801	CALIFORNIA	Yes

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	2018079236	OTHER	CALIFORNIA	FNP BOARD CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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