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

Mrs. Kelly Teresa Peck, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1235856071

Mrs. Kelly Teresa Peck, NP-C is a Primary Care Nurse Practitioner in Palm Desert, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

36921 Cook St Ste 102
Palm Desert, CA 92211-6070
Phone: (760) 836-9066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95022984 (CA)

Record details

NPI number1235856071
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 22, 2022

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