Individual
KELSEY RENEE COLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5333 HOLLISTER AVE STE 110, GOLETA, CA 93111-2379
(805) 683-0055
Mailing address
750 HIGHLAND AVE, MADISON, WI 53705-2221
(847) 340-5084
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
12/10/2021
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