Individual
MS. KELLY JEAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1501 TROUSDALE DR FL 2, BURLINGAME, CA 94010-4506
(650) 652-8600
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18283
CA
Other
Enumeration date
02/22/2011
Last updated
06/22/2020
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