Individual provider · Type 1 NPI
Kelly Jia Li Fang
Community Health Registered Nurse · Oakland, CA
NPI number
1972152726
Active
Practice location
818 Webster St
Oakland, CA 94607-4220
Mailing address
2225 Clinton Ave
Alameda, CA 94501-4927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 788618 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1972152726
Kelly Jia Li Fang's National Provider Identifier is 1972152726, issued on Sep 4, 2019. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Oakland, CA. The record was last updated on Sep 4, 2019.