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Kelley C Booth, NP
Family Nurse Practitioner in Berkeley, California
NPI 1053830851

Kelley C Booth is a Family Nurse Practitioner based in Los Altos, CA and is specialized in Family. Kelley C Booth practices in Berkeley, CA and has the professional credentials of NP. The NPI Number for Kelley C Booth is 1053830851 and holds a License No. 95007295 (California).

The current practice location address for Kelley C Booth is 2850 Telegraph Ave Ste 120, Berkeley, CA and can be reached out via phone at 510-204-8140.

Location: 2850 Telegraph Ave Ste 120, Berkeley, CA, 94022-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053830851
Provider Name
Kelley C Booth
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2850 Telegraph Ave Ste 120, Berkeley, CA, 94022-1408
Phone Number
510-204-8140
Fax Number
Provider Enumeration Date
09/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95007295 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2850 Telegraph Ave Ste 120
City
Berkeley
State
California
Zip
94705-1159
Phone Number
510-204-8140
Fax Number
person
Provider Business Mailing Address Details
Address
2850 Telegraph Ave Ste 120
City
Berkeley
State
California
Zip
94705-1159
Phone Number
510-204-8140
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95007295 (California)
Definition
Definition to come...
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