Individual
KELLY BRORONG CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
431450
NY
363L00000X
Nurse Practitioner
Primary
95019974
CA
363LA2200X
Adult Health Nurse Practitioner
95019974
CA
Other
Enumeration date
02/08/2019
Last updated
12/30/2025
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