| Mrs Kellyann Knight, CRNP | |
|
2400 E 4th St, Suite 65, National City, CA 91950-2026 | |
| (619) 470-4321 | |
| Not Available |
| Full Name | Mrs Kellyann Knight |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2400 E 4th St, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578882478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 21554 (California) | Primary |
| Entity Name | Paradise Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003037722 PECOS PAC ID: 2365538709 Enrollment ID: O20071017000572 |
| Entity Name | Senior Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629253505 PECOS PAC ID: 0446339469 Enrollment ID: O20080501000744 |
| Entity Name | Mansour Mofidi Do Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902043193 PECOS PAC ID: 7315085149 Enrollment ID: O20091116000047 |
| Entity Name | Saleem Rajper Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518286327 PECOS PAC ID: 1557492436 Enrollment ID: O20100622000632 |
| Entity Name | Careconnectmd Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366063125 PECOS PAC ID: 5496178055 Enrollment ID: O20200715000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kellyann Knight, CRNP 2400 E 4th St, National City, CA 91950-2026 Ph: (619) 470-4321 | Mrs Kellyann Knight, CRNP 2400 E 4th St, Suite 65, National City, CA 91950-2026 Ph: (619) 470-4321 |
Ms. Kia Lee, NP, MSN, BA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 305, National City, CA 91950 Phone: 619-818-7205 | |
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666 | |
Carl Oriel Raz Lero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Azeem Anjum, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 Euclid Ave Ste 200, National City, CA 91950 Phone: 619-267-9257 Fax: 619-267-9273 | |
Alissa Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700 | |
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284 |