Doctor Name: | MR. JOHN CHRISTOPHER KELLEY |
NPI Number: | 1457491763 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN PHN |
License Number: | 600664 |
Business Practice Address: | 720 Wood St Eureka, CA - 955014413 |
Business Phone Number: | 7072682990 |
Business Fax Number: | |
Mailing Address: | 3512 Nevada St, EUREKA |
State: | CA |
Postal Code: | 955034932 |
Phone Number: | 7074443697 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 600664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |