Individual
KELLY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,RN
Contact information
Practice address
5400 RALSTON ST, VENTURA, CA 93003-6002
(805) 658-3232
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(607) 366-7807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
415733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415733
—
CA
Enumeration date
07/27/2006
Last updated
09/27/2023
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