Individual provider · Type 1 NPI
Kevin Austin McKellar, R.N.
Adult Psychiatric/Mental Health Registered Nurse · San Jose, CA
NPI number
1043584816
Active
Practice location
2001 The Alameda
San Jose, CA 95126-1136
Fax (408) 254-9960
Mailing address
1254 Lerida Way
Pacifica, CA 94044-3634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 784443 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1043584816
Kevin Austin McKellar, R.N.'s National Provider Identifier is 1043584816, issued on Feb 26, 2012. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Jose, CA. The record was last updated on Feb 26, 2012.