Individual
JAIME LYN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10213 TILLICUM WAY, NEVADA CITY, CA 95959-2019
(530) 581-5152
Mailing address
10213 TILLICUM WAY, NEVADA CITY, CA 95959-2019
(530) 581-5152
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
67290
CA
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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