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Dana Lynne Kelly, PA
Emergency Clinical Nurse Specialist in Oakland, California
NPI 1326020397

Dana Lynne Kelly is a Emergency Clinical Nurse Specialist based in Modesto, CA and is specialized in Emergency. Dana Lynne Kelly practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Dana Lynne Kelly is 1326020397 and holds a License No. PA13877 (California).

The current practice location address for Dana Lynne Kelly is 1411 East 31St St, Oakland, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240. You can also correspond with Dana Lynne Kelly through the mailing address at 4301 NORTH STAR WAY, MODESTO, CA - 95356 (mailing address contact number: 209-342-2300).

Location: 1411 East 31St St, Oakland, CA, 95356
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Provider Profile Details
NPI Number
1326020397
Provider Name
Dana Lynne Kelly
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1411 East 31St St, Oakland, CA, 95356
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0PA138770 05 CA
institution
Provider Business Practice Location Address Details
Address
1411 East 31St St
City
State
Zip
94602-1018
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
4301 North Star Way
City
State
Zip
95356
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Emergency
Taxonomy
License No.
PA13877 (California)
Definition
Definition to come...
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