Individual
KELLY KATHLEEN GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,RN
Contact information
Practice address
2210 MESA DR STE 5, OCEANSIDE, CA 92054-3701
(760) 736-6767
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
415733
CA
363L00000X
Nurse Practitioner
Primary
6414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415733
—
CA
Enumeration date
07/27/2006
Last updated
07/09/2026
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