Individual
JOHN KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4250
Mailing address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A55124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A551240
—
CA
Enumeration date
04/05/2006
Last updated
08/31/2010
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