Keely Irvine

Physician Assistant · Upland, CA

Individual Active NPI

NPI number 1831863331

Practice location

918 W Foothill Blvd Ste a
Upland, CA 91786-3772
Phone
(909) 890-5511

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NPI record

NPI
1831863331
Entity type
Individual (Type 1)
Enumeration date
August 6, 2021
Last updated
July 31, 2024
Certified
July 31, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

11755 Malaga Dr Unit 1178
Rancho Cucamonga, CA 91730-8129

About Keely Irvine

Keely Irvine is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 918 W Foothill Blvd Ste a, Upland, CA 91786-3772. The NPI number 1831863331 was assigned on August 6, 2021 and the record was last updated on July 31, 2024.

Frequently asked questions

What is the NPI number of Keely Irvine?

The NPI number is 1831863331.

What is the phone number of Keely Irvine?

The phone number listed for the practice location is (909) 890-5511.

Where is Keely Irvine located?

918 W Foothill Blvd Ste a, Upland, CA 91786-3772.

What is the taxonomy code for Keely Irvine?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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