Individual
KEVIN AUSTIN MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Mailing address
1254 LERIDA WAY, PACIFICA, CA 94044-3634
(650) 922-1211
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
784443
CA
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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