Individual
DYLAN L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4572 TELEPHONE RD STE 903, VENTURA, CA 93003-5663
(805) 654-8127
(805) 654-8149
Mailing address
4572 TELEPHONE RD STE 903, VENTURA, CA 93003-5663
(805) 654-8127
(805) 654-8149
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
298744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298744
STATE LICENSE
CA
Enumeration date
08/11/2020
Last updated
02/22/2023
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