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Individual

DR. KEVIN R. KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 EASTLAKE AVE, 8302E, LOS ANGELES, CA 90089-0112
(323) 865-3950
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3950

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
42642
TX
207RH0003X
Hematology & Oncology Physician
Primary
A143303
CA

Other

Enumeration date
09/06/2008
Last updated
11/18/2020
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