Individual
KATY-ANN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Mailing address
187 AGNES WAY, PLEASANT HILL, CA 94523-3904
(925) 997-0106
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN95146793
CA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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