Individual
BRENNA MICHELLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 S RAMPART BLVD, LOS ANGELES, CA 90057-1404
(626) 528-1886
Mailing address
1408 W 220TH ST, TORRANCE, CA 90501-4021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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