| Doctor Name: | MS. KELLY J CONWAY |
| NPI Number: | 1023038775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N;M.S. |
| License Number: | 328156 |
| Business Practice Address: | 3801 Miranda Ave Palo Alto, CA - 943041207 |
| Business Phone Number: | 6504935000 |
| Business Fax Number: | |
| Mailing Address: | 3999 Cherryvale Ave, SOQUEL |
| State: | CA |
| Postal Code: | 950739559 |
| Phone Number: | 6503875968 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 328156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |