ELLEN L KELLEY

EXECUTIVE URGENT CARE OF INDIAN WELLS

Dr ELLEN L KELLEY is a female medical professional, specializing in Nurse Practitioner. She graduated in 1998.

Contact

EXECUTIVE URGENT CARE OF INDIAN WELLS

74785 US HWY 111
SUITE 100
INDIAN WELLS
CA
922107129

Tel: 7603463932

ELLEN L KELLEY Information

Npi 1588878623
Pac Id 0143315895
Professional Enrollment Id I20070926001084
Last Name KELLEY
First Name ELLEN
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EXECUTIVE URGENT CARE OF INDIAN WELLS
Group Practice Pac Id 0042456212
Number Of Group Practice Members 6
Line 1 Street Address 74785 US HWY 111
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City INDIAN WELLS
State CA
Zip Code 922107129
Phone Number 7603463932
Hospital Affiliation Ccn 1 050573
Hospital Affiliation Lbn 1 EISENHOWER MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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