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Individual

DR. KAITLIN PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6475 ALVARADO RD STE 120, SAN DIEGO, CA 92120-5007
(619) 583-6133
Mailing address
9366 REDWOOD DR APT B, LA JOLLA, CA 92037-1514
(303) 257-8902

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017926
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95017926
CA

Other

Enumeration date
07/27/2021
Last updated
05/26/2022
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