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Individual
KATHERINE KELLY
Active
Individual
KATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN301668
CA
363LF0000X
Family Nurse Practitioner
Primary
NP13565
CA
Other
Enumeration date
06/15/2006
Last updated
09/22/2016
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