DR. KELLY D GONZALES DNP NPI 1194109702

NPI Information

NPI: 1194109702
Provider Name: DR. KELLY D GONZALES, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4282 GENESEE AVE STE 103
SAN DIEGO, CA
ZIP 92117
Phone: (858) 292-0108
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DR. Kelly D Gonzales, DNP is a family nurse practitioner in San Diego, CA. DR. Kelly D Gonzales, DNP NPI is 1194109702. 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:

4282 GENESEE AVE STE 103
SAN DIEGO, CA
ZIP 92117
Phone: (858) 292-0108
Fax: (858) 292-9097

The enumeration date for this NPI number is 7/13/2015 and was last updated on 6/12/2018.

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	95002691	CALIFORNIA	Yes
2	363LP0200X	Nurse Practitioner	Pediatrics	95002691	CALIFORNIA	No

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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