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MRS. KELLY FONS BORMAN NP
NPI 1982004792
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since August 28, 2014
4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027(323) 361-7844(323) 361-8767 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Fons Borman Np NPPES

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

MRS. KELLY FONS BORMAN NP (NPI 1982004792) is an individual pediatrics provider in Los Angeles, California, licensed in California (21393) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1982004792
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KELLY FONS BORMANCredential: NP
Location Address4650 W SUNSET BLVD # 54Los Angeles, CA 90027-6062
Mailing Address4249 Stern AveSherman Oaks, CA 91423-4226 · (248) 762-1963
Phone(323) 361-7844
Fax(323) 361-8767
Sole ProprietorYes
Enumeration DateAugust 28, 2014
Last NPPES UpdateJune 18, 2015
✔ NPI 1982004792 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 · 21393
Also ListedRegistered NurseTaxonomy 163W00000X · License 740170 (CA)
4650 W SUNSET BLVD # 54, Los Angeles, CA 90027
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Other Providers at the Same Location NPPES 16

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

JACQUELYN KEEGAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-4141
JENNY LYNNE JOHNSON
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8185
CHRISTOPHER CLEMENT DENTON M.D.
Pediatrics (Pediatric Hematology-Oncology)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-5507
DR. LAURA BAVA PSY.D.
Psychologist (Health Service)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-6609
DR. AGNE TARASEVICIUTE M.D., PH.D.
Pediatrics (Pediatric Hematology-Oncology)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-6504
JESSICA SHETH BHUTADA M.D.
Pediatrics
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-4151
EMILY HSIEH M.D.
Pediatrics
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-4829
NELSON ALAN HEAD PA-C
Physician Assistant (Medical)
4650 W SUNSET BLVD # 54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-5049

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 Borman's NPI number?

The NPI number for Kelly Borman is 1982004792. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Kelly Borman located?

Kelly Borman practices at 4650 W Sunset Blvd # 54, Los Angeles, CA 90027. The listed phone number is (323) 361-7844.

What is Kelly Borman'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 Borman was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.