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Kelly Green Mazurek, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1487915203

Kelly Green Mazurek is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kelly Green Mazurek practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Kelly Green Mazurek is 1487915203 and holds a License No. A149649 (California).

The current practice location address for Kelly Green Mazurek is 4510 Viewridge Ave, San Diego, CA and can be reached out via phone at 866-413-1582.

Location: 4510 Viewridge Ave, San Diego, CA, 92123-1637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487915203
Provider Name
Kelly Green Mazurek
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4510 Viewridge Ave, San Diego, CA, 92123-1637
Phone Number
866-413-1582
Fax Number
Provider Enumeration Date
06/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4510 Viewridge Ave
City
San Diego
State
California
Zip
92123
Phone Number
866-413-1582
Fax Number
person
Provider Business Mailing Address Details
Address
4510 Viewridge Ave
City
San Diego
State
California
Zip
92123
Phone Number
866-413-1582
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A149649 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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