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Kellie Acosta, PA-C
Medical Physician Assistant in San Luis Obispo, California
NPI 1053777342

Kellie Acosta is a Medical Physician Assistant based in San Luis Obispo, CA and is specialized in Medical. Kellie Acosta practices in San Luis Obispo, CA and has the professional credentials of PA-C. The NPI Number for Kellie Acosta is 1053777342 and holds a License No. 53123 (California).

The current practice location address for Kellie Acosta is 275 N Chorro St, San Luis Obispo, CA and can be reached out via phone at 808-640-2660.

Location: 275 N Chorro St, San Luis Obispo, CA, 93405-3320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053777342
Provider Name
Kellie Acosta
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
275 N Chorro St, San Luis Obispo, CA, 93405-3320
Phone Number
808-640-2660
Fax Number
Provider Enumeration Date
01/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
275 N Chorro St
City
San Luis Obispo
State
California
Zip
93405-3320
Phone Number
808-640-2660
Fax Number
person
Provider Business Mailing Address Details
Address
275 N Chorro St
City
San Luis Obispo
State
California
Zip
93405-3320
Phone Number
808-640-2660
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
53123 (California)
Definition
Definition to come...
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