KELLIE MARIE PATE NPI 1609248368

NPI Information

NPI: 1609248368
Provider Name: KELLIE MARIE PATE
Classification:
Entity Type: Individual
Address:
1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202
Phone: (209) 468-0103
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Kellie Marie Pate is a healthcare provider in Stockton, CA. Kellie Marie Pate NPI is 1609248368. 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:

1212 N CALIFORNIA ST
STOCKTON, CA
ZIP 95202-552
Phone: (209) 468-0103

The enumeration date for this NPI number is 10/21/2015 and was last updated on 3/8/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO56670518	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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