Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI NICOLE LEM
Active Sole ProprietorKELLI NICOLE LEM is a Medical Physician Assistant healthcare provider located in MARINA DEL REY, California. NPI 1598112062 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MARINA DEL REY, CA
Registration Details
- NPI Number
- 1598112062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2016 (10.286432853617 yrs)
- Last Updated
- Feb 22, 2019
- Licenses
-
53766 (CA)PA2010 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13900 MARQUESAS WAY APT 5417MARINA DEL REY, CA, 902926076Browse CA providers · Browse ZIP 90292
- Phone
- 4242084630
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MARINA DEL REY, CA
| Name | Credential | NPI |
|---|---|---|
| MARINA VERGILIS | PA-C | 1316143472 |
| MS. MELEA DELISE FUTRELL | PA-C | 1528210333 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.