Individual provider · Type 1 NPI

Kelsey Irene Nicolas

Student in an Organized Health Care Education/Training Program · North Hollywood, CA

NPI number 1558289397 Active

Practice location

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576

Call (818) 755-8786 Map

Mailing address

20425 Sorrento Ln Apt 209
Porter Ranch, CA 91326-4584

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558289397

Kelsey Irene Nicolas's National Provider Identifier is 1558289397, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Hollywood, CA. The record was last updated on Jul 8, 2026.