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

Marypat Kelly, GNP

Individual provider Gerontology Nurse Practitioner · NPI 1043289523

Marypat Kelly, GNP is a Gerontology Nurse Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

80 Great Oaks Blvd
San Jose, CA 95119-1310
Phone: (408) 363-3000
Fax: (408) 363-3082
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 15112 (CA)

Record details

NPI number1043289523
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJuly 13, 2026

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