Individual provider · Type 1 NPI
Kellie Jo Enderson, ARNP
General Practice Physician · Temecula, CA
NPI number
1316523459
Active
Practice location
27450 Ynez Rd
Temecula, CA 92591-4671
Fax (951) 506-2361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A162928 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1316523459
Kellie Jo Enderson, ARNP's National Provider Identifier is 1316523459, issued on Mar 19, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Temecula, CA. The record was last updated on Mar 20, 2026.