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KELLI M ROSE
MEDICAL COLLEGE OF WISCONSIN
KELLI M ROSE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1407028798. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 42497398. The primary specialty is ALLERGY/IMMUNOLOGY. The organization is ALLERGY PARTNERS OF CALIFORNIA, INC. The address is 1551 BISHOP ST, , SAN LUIS OBISPO, CA, 934014665. The zip code is 934014665.
|Nation Provider ID||1407028798|
|PAC ID by PECOS||42497398|
|Professional Enrollment ID||I20150706000604|
|Name||KELLI M ROSE|
|Medical School Name||MEDICAL COLLEGE OF WISCONSIN|
|All secondary specialties|
|Organization Name||ALLERGY PARTNERS OF CALIFORNIA, INC|
|Group Practice PAC ID||143498097|
|Number of Group Practice members||8|
|Address||1551 BISHOP ST, , SAN LUIS OBISPO, CA, 934014665|
|Hospital affiliation LBN|