Individual provider · Type 1 NPI

Michael Sean Kelly, NP

Psychiatric/Mental Health Nurse Practitioner · Tustin, CA

NPI number 1003206004 Active

Practice location

17601 17th St Ste 120
Tustin, CA 92780-1946

Call (714) 769-6090 Map

Mailing address

215 Santa Isabel Ave
Costa Mesa, CA 92627-1509

Other practice locations

  • 275 Victoria St, Costa Mesa, CA 92627-1906 · (949) 722-7118

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95001913 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003206004

Michael Sean Kelly, NP's National Provider Identifier is 1003206004, issued on Jan 28, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tustin, CA. The record was last updated on Jan 24, 2019.