# DR. KELLY BLUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386849339
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | G084831 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 07/08/2007