Search › California › 363LF0000X
Kelly Rackham, FNP-C
NPI 1801497284 · on the registry since 2020
Practice
- Address
- 1000 Vale Terrace Dr
Vista, CA 92084 - Phone
- (844) 308-5003
- Organisation at this address
- Vista Community Clinic
Vista Community Clinic
Vista Community Clinic
Vista Community Clinic
Vista Community ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 239
Additional practice sites
- 9850 Genesee Ave, La Jolla, CA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-27
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