Kelly Knight
Registered Nurse in Upland, CA. Individual provider (NPI-1).
NPI number1043990146
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1043990146
- Entity type
- Individual (NPI-1)
- Name
- Kelly Knight
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2023
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 507183 | CA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 95028325 | CA |
Practice location
1004 W Foothill BlvdUpland, CA 91786-3774
Phone 909-206-5956
Mailing address
306 Vista TruchaNewport Beach, CA 92660-3519
Phone 909-644-6402
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All 22 Registered Nurse providers in Upland · All 2,782 providers in Upland
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