Kelly Breeding
Community Health Worker in Jackson, CA. Individual provider (NPI-1).
NPI number1245048628
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1245048628
- Entity type
- Individual (NPI-1)
- Name
- Kelly Breeding
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
217 Rex AveJackson, CA 95642-2020
Phone 209-418-9800
Mailing address
217 Rex AveJackson, CA 95642-2020
Phone 206-418-9800
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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.
Other Community Health Worker providers in Jackson, CA
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- Juliana Emilia CamposNPI 1487540845
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All 22 Community Health Worker providers in Jackson · All 394 providers in Jackson
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