Individual
KELLY BROOKS O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6698 TORENIA TRL, SAN DIEGO, CA 92130-6982
(808) 866-6446
Mailing address
6698 TORENIA TRL, SAN DIEGO, CA 92130-6982
(808) 866-6446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016652
CA
Other
Enumeration date
06/01/2021
Last updated
09/24/2021
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