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General NPI Number Information
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NPI Number | 1659163970
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Entity Type | Organization
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Legal Business Name | KEL HEALTH AND WELLNESS NURSING CORPORATION
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1225 CYPRESS AVE STE 3
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City | LOS ANGELES
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State | CA
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Zip | 90065-1112
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Country | US
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Telephone | 626-768-2649
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Fax | 626-995-1540
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Provider Business Mailing Address
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Address Line | 2210 NELSON AVE APT D
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2428
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Country | US
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Telephone | 626-768-2649
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Fax | 626-995-1540
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Authorized Official
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Title or Position | CEO
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Name | KELECHI OKWARAJI
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Credential |
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Telephone | 626-768-2649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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