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Individual

KIMBERLY ANN KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND, RD

Contact information

Practice address
8920 WILSHIRE BLVD STE 610, BEVERLY HILLS, CA 90211-2006
(424) 389-9451
(833) 551-4828
Mailing address
22287 MULHOLLAND HWY # 669, CALABASAS, CA 91302-5157
(747) 263-9451

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1106458
175F00000X
Naturopath
Primary
ND1328
CA

Other

Enumeration date
06/04/2015
Last updated
05/13/2022
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