Individual
MRS. AMANDA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 CALIFORNIA ST, SUITE 100, SAN FRANCISCO, CA 94109-4586
(415) 386-8406
(415) 386-5388
Mailing address
3 HARBOR DR STE 111, SAUSALITO, CA 94965-1491
(415) 683-2988
(415) 683-2980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14985
CA
363LF0000X
Family Nurse Practitioner
492432
CA
Other
Enumeration date
04/29/2008
Last updated
02/12/2024
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