Individual
LI KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 FLOWER DR, FOLSOM, CA 95630-4829
(916) 205-5055
(916) 205-5055
Mailing address
306 FLOWER DR, FOLSOM, CA 95630-4829
(916) 205-5055
(916) 205-5055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028882
CA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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