Individual provider · Type 1 NPI
Kevin Eric Kelly, NP
Psychiatric/Mental Health Nurse Practitioner · Oakland, CA
NPI number
1235464447
Active
Practice location
1451 28th Ave
Oakland, CA 94601-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 702879 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 19354 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235464447
Kevin Eric Kelly, NP's National Provider Identifier is 1235464447, issued on Oct 5, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oakland, CA. The record was last updated on Nov 2, 2026.