Individual
KELLI A BACKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3030 ALUM ROCK AVE, SAN JOSE, CA 95127-2807
(408) 457-7100
Mailing address
3315 MONTGOMERY DR APT 167, SANTA CLARA, CA 95054-3039
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95034378
CA
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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