Individual
DR. KELLY DESELMS TRAVER-SELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 AMPHITHEATRE PKWY, MOUNTAIN VIEW, CA 94043-1351
(650) 253-0890
Mailing address
340 WILLOWBROOK DR, PORTOLA VALLEY, CA 94028-7842
(650) 851-8758
(650) 851-2258
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G69021
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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