Individual
KELLY KAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16104 CRYSTAL CREEK LN, CERRITOS, CA 90703-1918
(562) 805-8954
Mailing address
16104 CRYSTAL CREEK LN, CERRITOS, CA 90703-1918
(562) 805-8954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
892973
CA
Other
Enumeration date
12/02/2017
Last updated
12/04/2017
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