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Emily Kelso

Student in an Organized Health Care Education/Training Program in Oakland, CA. Individual provider (NPI-1).

NPI number1093638017
StatusActive
Last updated in NPPESAug 4, 2026

Details

NPI
1093638017
Entity type
Individual (NPI-1)
Name
Emily Kelso
Sole proprietor
No
Enumeration date
Aug 4, 2026
Certification date
Aug 4, 2026
Last updated
Aug 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3399

Phone 510-482-2244

Mailing address

3800 Coolidge Ave
Oakland, CA 94602-3399

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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