Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Phan

Individual provider Family Nurse Practitioner · NPI 1316601396

Kelly Phan is a Family Nurse Practitioner in Milpitas, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1313 N Milpitas Blvd Ste 265
Milpitas, CA 95035-3190
Phone: (408) 770-9480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018604 (CA)

Record details

NPI number1316601396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 26, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 15, 2021
Mailing address401 Puerto Pl, Hayward, CA 94541-7301

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