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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 ID1407028798
PAC ID by PECOS42497398
Professional Enrollment IDI20150706000604
NameKELLI M ROSE
Medical School NameMEDICAL COLLEGE OF WISCONSIN
Graduation Year2008
Primary SpecialtyALLERGY/IMMUNOLOGY
All secondary specialties
Organization NameALLERGY PARTNERS OF CALIFORNIA, INC
Group Practice PAC ID143498097
Number of Group Practice members8
Address1551 BISHOP ST, , SAN LUIS OBISPO, CA, 934014665
Hospital affiliation LBN
Graduation Year2008
Contact Number8055432744
Email Address[Show_Email_ID]
Phone Number[Show_Phone]
Website [Show_Website]