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Mrs. Kelly Teresa Peck, NP-C
Primary Care Nurse Practitioner in Palm Desert, California
NPI 1235856071

Kelly Teresa Peck is a Primary Care Nurse Practitioner based in Palm Springs, CA and is specialized in Primary Care. Kelly Teresa Peck practices in Palm Desert, CA and has the professional credentials of NP-C. The NPI Number for Kelly Teresa Peck is 1235856071 and holds a License No. 95022984 (California).

The current practice location address for Kelly Teresa Peck is 36921 Cook St Ste 102, Palm Desert, CA and can be reached out via phone at 760-836-9066.

Location: 36921 Cook St Ste 102, Palm Desert, CA, 92262-2511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235856071
Provider Name
Kelly Teresa Peck
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
36921 Cook St Ste 102, Palm Desert, CA, 92262-2511
Phone Number
760-836-9066
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36921 Cook St Ste 102
City
Palm Desert
State
California
Zip
92211-6070
Phone Number
760-836-9066
Fax Number
person
Provider Business Mailing Address Details
Address
36921 Cook St Ste 102
City
Palm Desert
State
California
Zip
92211-6070
Phone Number
760-836-9066
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95022984 (California)
Definition
Definition to come...
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