MS. KELLY ANN MALL LVN
NPI 1124210620
Licensed Vocational Nurse in Palm Springs, CA

Q: What is Kelly Mall's NPI number?

The NPI number for Kelly Mall is 1124210620. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Q: What is Kelly Mall's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mall was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2007

1330 N INDIAN CANYON DR, STE A, PALM SPRINGS, CA 92262(760) 322-9065 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kelly Ann Mall Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY ANN MALL LVN (NPI 1124210620) is an individual licensed vocational nurse in Palm Springs, California, licensed in California (VN 138503) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1124210620

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMS. KELLY ANN MALLCredential: LVN

Location Address1330 N INDIAN CANYON DR, STE APalm Springs, CA 92262-4880

Mailing Address1330 N Indian Canyon Dr, Ste APalm Springs, CA 92262-4880 · (760) 322-9065

Phone(760) 322-9065

Sole ProprietorYes

Enumeration DateAugust 17, 2007

✔ NPI 1124210620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN 138503

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

1330 N INDIAN CANYON DR, Palm Springs, CA 92262

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWNA MICHAELE MONGIOVI CADC II

Counselor (Addiction (Substance Use Disorder))

1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

JOSEPH ABRAHAM MOTT M.D., J.D.

Preventive Medicine (Addiction Medicine)

1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Riverside County (607) 537-4779

JORDYN DOUGHERTY LVN

Licensed Vocational Nurse

1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

MR. MATTHEW ALAN EASTERBROOK SR. BA

Counselor (Addiction (Substance Use Disorder))

1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

DR. HOMAN ABDOLLAHZADEH MD

Internal Medicine (Gastroenterology)

1330 N INDIAN CANYON DR, SUITE F
PALM SPRINGS, CA 92262

Riverside County (760) 864-4163

WCHS INC.

Clinic/Center (Methadone)

1330 N INDIAN CANYON DR, SUITE A
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

IVARILLA JEMISE MARTIN

Licensed Vocational Nurse

1330 N INDIAN CANYON DR, SUITE A
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

BRENDAN BURKE R1339090219

Counselor (Addiction (Substance Use Disorder))

1330 N INDIAN CANYON DR
PALM SPRINGS, CA 92262

Riverside County (760) 322-9065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mall's NPI number?

The NPI number for Kelly Mall is 1124210620. It was assigned to this individual provider in the NPPES registry on August 17, 2007.

Where is Kelly Mall located?

Kelly Mall practices at 1330 N Indian Canyon Dr Ste A, Palm Springs, CA 92262. The listed phone number is (760) 322-9065.

What is Kelly Mall's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mall was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.