Individual
KELLY HAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
290 N WAYTE LN # 1300, FRESNO, CA 93701-2124
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95000907
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95000907
CA
Other
Enumeration date
10/06/2014
Last updated
01/10/2020
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