Individual
MR. JOHN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
225 S CHINOWTH ST, VISALIA, CA 93291-5411
(559) 627-3222
Mailing address
7254 N ANTIOCH AVE, FRESNO, CA 93722-3433
(559) 433-5360
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
425362
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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