Individual
ANDREA R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1334, HOOPA, CA 95546-1334
(707) 613-7429
Mailing address
PO BOX 1334, HOOPA, CA 95546-1334
(707) 613-7429
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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