Individual
KELLI MARIE HITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22616 FENWALL DR, SANTA CLARITA, CA 91350-3655
(661) 644-5628
Mailing address
22616 FENWALL DR, SANTA CLARITA, CA 91350-3655
(661) 644-5628
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95038628
CA
363LG0600X
Gerontology Nurse Practitioner
95038628
CA
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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