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Individual
MRS. STARLA N. LYLES MCKELVY
Active
Individual
MRS. STARLA N. LYLES MCKELVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102203199
VA
2084P0800X
Psychiatry Physician
Primary
20A14833
CA
261QM0850X
Adult Mental Health Clinic/Center
20A14833
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2011
Last updated
02/09/2021
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