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

Kelly Vanessa Cordova Gomez

Individual provider Licensed Vocational Nurse · NPI 1932960473

Kelly Vanessa Cordova Gomez is a Licensed Vocational Nurse in Fairfield, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2101 Courage Dr
Fairfield, CA 94533-6717
Phone: (707) 428-1131
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 736829 (CA)

Record details

NPI number1932960473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

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