Individual
CAROL JEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1800 WESTWIND DR, #500, BAKERSFIELD, CA 93301-3055
(661) 322-9411
Mailing address
2401 GOLDENROD ST, #14-107, BAKERSFIELD, CA 93308-1763
(661) 205-5631
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
PL-2006-466-P
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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