Individual
EMILY KATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013070
CA
363LA2100X
Acute Care Nurse Practitioner
SP020358
PA
Other
Enumeration date
10/11/2019
Last updated
05/19/2021
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