Individual
KELLY BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1880 CENTURY PARK E, SUITE 425, LOS ANGELES, CA 90067-1600
(310) 248-4015
Mailing address
11600 MONTANA AVE, APT 109, LOS ANGELES, CA 90049-4664
(720) 261-8657
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23047
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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