Individual
MRS. KELLYANN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2400 E 4TH ST, SUITE 65, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21554
CA
Other
Enumeration date
05/18/2010
Last updated
07/13/2016
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