Kelsie Mothersead
Physician Assistant, Surgical in Newport Beach, CA. Individual provider (NPI-1).
NPI number1508555210
StatusActive
Last updated in NPPESJun 26, 2026
Details
- NPI
- 1508555210
- Entity type
- Individual (NPI-1)
- Name
- Kelsie Mothersead
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2023
- Certification date
- Jun 26, 2026
- Last updated
- Jun 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
22 Corporate Plaza DrNewport Beach, CA 92660-7985
Phone 949-722-7038 · Fax 949-630-4900
Mailing address
22 Corporate Plaza DrNewport Beach, CA 92660-7985
Phone 949-722-7038
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All 24 Surgical Physician Assistant providers in Newport Beach · All 6,269 providers in Newport Beach
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