Individual
KRISTEN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 513230, LOS ANGELES, CA 90051-3230
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G80021
CA
207NS0135X
Procedural Dermatology Physician
Primary
G80021
CA
Other
Enumeration date
07/31/2006
Last updated
03/12/2025
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