Individual
KELSEY BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037
(213) 226-7443
(323) 908-9617
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1411
(323) 541-1499
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53675
CA
Other
Enumeration date
08/27/2016
Last updated
06/28/2018
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