Individual
KAY E ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3701 SKYPARK DR, SUITE 150, TORRANCE, CA 90505-4753
(310) 378-8450
Mailing address
3701 SKYPARK DR, SUITE 150, TORRANCE, CA 90505-4753
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36123
WI
207V00000X
Obstetrics & Gynecology Physician
G86986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023055928
—
WI
Enumeration date
05/31/2006
Last updated
12/14/2022
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