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Individual

KELLEY EVERHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2017 1ST AVE STE 100, SAN DIEGO, CA 92101-9001
(888) 743-7526
Mailing address
11115 IRONWOOD RD, SAN DIEGO, CA 92131-1813
(520) 429-3053

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95203180
CA

Other

Enumeration date
09/04/2023
Last updated
09/04/2023
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