KELLY ELIZABETH KOTULA DNP, CPNP
NPI 1518519305
Nurse Practitioner - Pediatrics in San Diego, CA

Active since July 11, 2019
3665 KEARNY VILLA RD STE 400, SAN DIEGO, CA 92123(858) 966-8801 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2020, Jul 11, 2019 (2 updates tracked since 2019).

About Kelly Elizabeth Kotula Dnp, Cpnp NPPES

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

KELLY ELIZABETH KOTULA DNP, CPNP (NPI 1518519305) is an individual pediatrics provider in San Diego, California, licensed in California (NP95012078) and active in the NPI registry since July 2019. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1518519305
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY ELIZABETH KOTULACredential: DNP, CPNP
Location Address3665 KEARNY VILLA RD STE 400San Diego, CA 92123-1955
Mailing Address3665 Kearny Villa Rd Ste 400San Diego, CA 92123-1955 · (858) 966-8801
Sole ProprietorNo
Enumeration DateJuly 11, 2019
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1518519305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · NP95012078
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95012078 (CA)
3665 KEARNY VILLA RD STE 400, San Diego, CA 92123

Secondary Practice Location 1

Location 17910 Frost St Ste 335San Diego, CA 92123-2753 · Phone (858) 576-8010

Other Providers at the Same Location NPPES 8

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

Psychologist (Clinical Child & Adolescent)
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Psychologist
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Audiologist
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Psychologist
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Psychologist (Clinical)
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Clinical Neuropsychologist
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123
Audiologist
3665 KEARNY VILLA RD STE 400
SAN DIEGO, CA 92123

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 Kotula's NPI number?

The NPI number for Kelly Kotula is 1518519305. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Kelly Kotula located?

Kelly Kotula practices at 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123. The listed phone number is (858) 966-8801.

What is Kelly Kotula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kelly Kotula was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.