Individual
KELLY B RUMRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
65 ASPEN WAY, WATSONVILLE, CA 95076-6054
(831) 724-1164
Mailing address
65 ASPEN WAY, WATSONVILLE, CA 95076-6054
(831) 724-1164
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21739
CA
Other
Enumeration date
07/11/2013
Last updated
03/05/2021
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