Individual
KELLY WONG MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP, RN
Contact information
Practice address
637 IRVING ST, SAN FRANCISCO, CA 94122-2401
(415) 234-3144
(415) 366-0469
Mailing address
637 IRVING ST, SAN FRANCISCO, CA 94122-2401
(415) 234-3144
(415) 366-0469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
824969
CA
176B00000X
Midwife
Primary
236080
CA
363LA2200X
Adult Health Nurse Practitioner
95001388
CA
Other
Enumeration date
03/22/2017
Last updated
08/16/2023
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