MRS. KELLY FONS BORMAN NP NPI 1982004792

NPI Information

  • NPI: 1982004792
  • Provider Name: MRS. KELLY FONS BORMAN, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 4650 W SUNSET BLVD # 54
    LOS ANGELES, CA
    ZIP 90027
  • Phone: (323) 361-7844

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NPI Details

MRS. Kelly Fons Borman, NP is a pediatrics nurse practitioner in Los Angeles, CA. MRS. Kelly Fons Borman, NP NPI is 1982004792. 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:

4650 W SUNSET BLVD # 54
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-7844
Fax: (323) 361-8767

The enumeration date for this NPI number is 8/28/2014 and was last updated on 6/18/2015.

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
1163W00000XRegistered Nurse740170CALIFORNIANo
2363LP0200XNurse PractitionerPediatrics21393CALIFORNIAYes

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: 11/21/2025

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