Emily Kelly, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Emily Kelly is licensed to practice in * (Not Available) (license number ) and her current practice location is
1900 The Alameda Ste 610, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 475-1665.
NPI number for Emily Kelly is 1679039945 and her current mailing address is 1900 The Alameda Ste 610, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679039945.
Healthcare Provider's Profile
| Full Name | Emily Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1900 The Alameda Ste 610, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679039945
- Provider Enumeration Date: 02/12/2019
- Last Update Date: 09/11/2023
Medical Identifiers
Medical identifiers for Emily Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679039945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emily Kelly,
1900 The Alameda Ste 610,
San Jose, CA 95126-1437
Ph: (408) 475-1665 | Emily Kelly,
1900 The Alameda Ste 610,
San Jose, CA 95126-1437
Ph: (408) 475-1665 |
Reviews and Comments