BRIAN ISMAEL KELLY NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1407649957- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 525 W ACACIA ST, STOCKTON, CA, 952032405
- Phone
- (209) 944-5550
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: CA #95184031
Nurse Practitioner
Primary License: CA #95184031