Individual
MRS. KELLY ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
520 SUPERIOR AVE STE 150, NEWPORT BEACH, CA 92663-3642
(949) 764-6240
(949) 642-7703
Mailing address
520 SUPERIOR AVE STE 150, NEWPORT BEACH, CA 92663-3642
(949) 764-6240
(949) 642-7703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
656694
CA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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