Individual
KELLY E KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 657-7000
Mailing address
2646 ILLION ST, SAN DIEGO, CA 92110-2362
(303) 386-5428
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
95029214
CA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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