Kelsey Renee Collin, PA
Physician Assistant, Medical in Goleta, CA. Individual provider (NPI-1).
NPI number1164050563
StatusActive
Last updated in NPPESDec 10, 2021
Details
- NPI
- 1164050563
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Renee Collin
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2020
- Certification date
- Dec 10, 2021
- Last updated
- Dec 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5333 Hollister Ave Ste 110Goleta, CA 93111-2379
Phone 805-683-0055
Mailing address
750 Highland AveMadison, WI 53705-2221
Phone 847-340-5084
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