Individual
MS. KELLY J CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N;M.S.
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
3999 CHERRYVALE AVE, SOQUEL, CA 95073-9559
(650) 387-5968
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
328156
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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