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Search › California › Psychiatric/Mental Health Nurse Practitioner

Michael Kelly, NP

NPI 1003206004 · on the registry since 2015

Practice

Address
17601 17th St Ste 120
Tustin, CA 92780
Phone
(714) 769-6090
Organisation at this address
Proactivehealthllc
Wieke H Liem, M.D.,Inc.
Amit Lalit Shah Dds Inc
Karol D Dangaran M D Inc
Jay Applebaum, M.D.,Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 275 Victoria St, Costa Mesa, CA

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California