Individual
KELLY OLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
218 DEANZA BLVD, SAN MATEO, CA 94402
(650) 341-9131
Mailing address
20055 LAKE CHABOT RD STE 130, CASTRO VALLEY, CA 94546-5332
(510) 888-0657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015895
CA
Other
Enumeration date
07/10/2020
Last updated
06/09/2025
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