National Provider Identifier Database

SUKESHINI P KELLY, RN – NPI #1063610590
Maternal Newborn

Contact Information

SUKESHINI P KELLY, RN
2033 E COLUNGA ST
COLTON, CA  92324-7510
Phone: 909-872-1113
Fax: 909-872-1113
Website:
Specialty Taxonomy Code
* Maternal Newborn 163WM0102X
Cardiac Rehabilitation 163WC3500X
Case Management 163WC0400X
Critical Care Medicine 163WC0200X
Emergency 163WE0003X
Neonatal Intensive Care 163WN0002X
Ostomy Care 163WX1500X
Urology 163WU0100X
Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for SUKESHINI P KELLY

NPI Number 1063610590
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 07/05/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 482520
  • CA Medicaid: EPS016950
  • CA Medicaid: RVN005060
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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