HALLAN KELLY NP
NPI 1619047198
Nurse Practitioner in San Mateo, CA

Q: What is Hallan Kelly's NPI number?

The NPI number for Hallan Kelly is 1619047198. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Hallan Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Hallan Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 09, 2006

222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hallan Kelly Np NPPES

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

HALLAN KELLY NP (NPI 1619047198) is an individual nurse practitioner in San Mateo, California, licensed in California (PA1011) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619047198

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameHALLAN KELLYCredential: NP

Location Address222 W 39TH AVESan Mateo, CA 94403-4364

Mailing Address222 W 39th AveSan Mateo, CA 94403-4364 · (650) 573-2222

Phone(650) 573-2222

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619047198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · PA1011

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

222 W 39TH AVE, San Mateo, CA 94403

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Other Identifiers 4

Medicaid0PA101100CA

Medicare ID-Type Unspecified0PA101100CA

Medicare UPINQ26218CA

MedicaidRN223958CA

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.

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