Individual
KELSI NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
12761 SCHABARUM AVE, IRWINDALE, CA 91706-6807
(626) 480-4500
Mailing address
20306 NEW ROCHELLE ST, WALNUT, CA 91789-1217
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5830
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
08/18/2022
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