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Kelly Maureen Holt
Adult Health Nurse Practitioner in San Diego, California
NPI 1205169711

Kelly Maureen Holt is an Adult Health Nurse Practitioner based in San Diego, CA and is specialized in Adult Health. Kelly Maureen Holt practices in San Diego, CA. The NPI Number for Kelly Maureen Holt is 1205169711 and holds a License No. 18175 (California).

The current practice location address for Kelly Maureen Holt is 4060 4Th Ave Ste 100, San Diego, CA and can be reached out via phone at 619-718-9444 and via fax at 619-718-9440.

Location: 4060 4Th Ave Ste 100, San Diego, CA, 92103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205169711
Provider Name
Kelly Maureen Holt
Credential
Provider Entity Type
Individual
Gender
Female
Address
4060 4Th Ave Ste 100, San Diego, CA, 92103
Phone Number
619-718-9444
Fax Number
619-718-9440
Provider Enumeration Date
09/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4060 4Th Ave Ste 100
City
San Diego
State
California
Zip
92103-2120
Phone Number
619-718-9444
Fax Number
619-718-9440
person
Provider Business Mailing Address Details
Address
4060 4Th Ave Ste 100
City
San Diego
State
California
Zip
92103-2120
Phone Number
619-718-9444
Fax Number
619-718-9440
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
18175 (California)
Definition
Definition to come...
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