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Individual

DR. KANWAR SINGH KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., J.D.

Contact information

Practice address
77 MORAGA WAY STE G, ORINDA, CA 94563
(925) 254-6710
Mailing address
77 MORAGA WAY STE G, ORINDA, CA 94563-3019
(925) 254-6710
(925) 254-6713

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A123114
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
842637791
CA
Enumeration date
04/06/2011
Last updated
12/15/2021
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