Individual
KELLY ALINE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5821 JAMESON CT STE 1, CARMICHAEL, CA 95608
(916) 864-0411
(916) 797-9414
Mailing address
5821 JAMESON CT STE 1, CARMICHAEL, CA 95608-0820
(916) 864-0411
(916) 797-9414
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
390508
CA
Other
Enumeration date
03/09/2006
Last updated
05/20/2025
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