Kiely Blaise Combs
Student in an Organized Health Care Education/Training Program in San Jose, CA. Individual provider (NPI-1).
NPI number1619708088
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1619708088
- Entity type
- Individual (NPI-1)
- Name
- Kiely Blaise Combs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1340 Tully RdSan Jose, CA 95122-3055
Phone 408-271-3900
Mailing address
1340 Tully Rd Ste 301San Jose, CA 95122-3055
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