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Mr. Michael Sean Kelly, NP
Psychiatric/Mental Health Nurse Practitioner in Tustin, California
NPI 1003206004

Michael Sean Kelly is a Psychiatric/Mental Health Nurse Practitioner based in Costa Mesa, CA and is specialized in Psychiatric/Mental Health. Michael Sean Kelly practices in Tustin, CA and has the professional credentials of NP. The NPI Number for Michael Sean Kelly is 1003206004 and holds a License No. 95001913 (California).

The current practice location address for Michael Sean Kelly is 17601 17Th St Ste 120, Tustin, CA and can be reached out via phone at 714-769-6090.

Location: 17601 17Th St Ste 120, Tustin, CA, 92627-1509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003206004
Provider Name
Michael Sean Kelly
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
17601 17Th St Ste 120, Tustin, CA, 92627-1509
Phone Number
714-769-6090
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17601 17Th St Ste 120
City
Tustin
State
California
Zip
92780-1946
Phone Number
714-769-6090
Fax Number
person
Provider Business Mailing Address Details
Address
17601 17Th St Ste 120
City
Tustin
State
California
Zip
92780-1946
Phone Number
714-769-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95001913 (California)
Definition
Definition to come...
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