IndividualActive
Kelly Keck, NNP
NPI 1255199717 · Neonatal Nurse Practitioner · La Jolla, CA
Provider details
- NPI number
- 1255199717
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- 95029214 (CA)
Mailing address
2646 Illion St
San Diego, CA 92110-2362
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.