Individual
MRS. CHARMAINE MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
670 BOULEVARD DE FRANCE, BRANCH HEALTH CLINIC, PORT ROYAL, SC 29902-6122
(843) 228-4237
Mailing address
72700 DINAH SHORE DR STE 200, PALM DESERT, CA 92211-0859
(909) 825-7084
(909) 422-3002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53952
CA
Other
Enumeration date
09/25/2013
Last updated
03/24/2025
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