Individual
KELLI MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1551 BISHOP ST, SUITE 520, SAN LUIS OBISPO, CA 93401-4635
(805) 543-2744
(805) 543-0539
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A134727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407028798
—
CA
01
—
CB235871
MEDICARE PTAN
CA
Enumeration date
03/27/2008
Last updated
10/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us