Organization
KELLY AHMED M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY JEAN AHMED M.D. (MEDICAL DOCTOR/OWNER)
(760) 955-7095
Entity
Organization
Contact information
Practice address
14285 AMARGOSA RD, SUITE 100, VICTORVILLE, CA 92392-9707
(760) 955-7095
(760) 951-1076
Mailing address
14285 AMARGOSA RD, SUITE 100, VICTORVILLE, CA 92392-9707
(760) 955-7095
(760) 951-1076
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A51407
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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