person
Haruka Kelley
Primary Care Nurse Practitioner in Berkeley, California
NPI 1770822116

Haruka Kelley is a Primary Care Nurse Practitioner based in Mountain View, CA and is specialized in Primary Care. Haruka Kelley practices in Berkeley, CA. The NPI Number for Haruka Kelley is 1770822116 and holds a License No. 95007416 (California).

The current practice location address for Haruka Kelley is 2500 Milvia St, Berkeley, CA and can be reached out via phone at 510-204-5600 and via fax at 510-506-7722. You can also correspond with Haruka Kelley through the mailing address at 2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA - 94040-6203 (mailing address contact number: 510-204-5600).

Location: 2500 Milvia St, Berkeley, CA, 94040-6203
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Provider Profile Details
NPI Number
1770822116
Provider Name
Haruka Kelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 Milvia St, Berkeley, CA, 94040-6203
Phone Number
510-204-5600
Fax Number
510-506-7722
Provider Enumeration Date
02/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95007416 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2500 Milvia St
City
State
Zip
94704
Phone Number
510-204-5600
Fax Number
510-506-7722
person
Provider Business Mailing Address Details
Address
2500 Milvia St
City
State
Zip
94704
Phone Number
510-204-5600
Fax Number
510-506-7722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95007416 (California)
Definition
Definition to come...
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