# KELSEY GRACE DOLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912430398
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 799138 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95004959 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | NUR-APRN-LIC-160964 | MT | Yes |

## Other

- **Enumeration date:** 04/04/2017
- **Last updated:** 09/11/2025