Individual
DAWN MICHELE KELLEY-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2026 N IMPERIAL AVE STE C, EL CENTRO, CA 92243-1607
(760) 592-4351
Mailing address
2026 N IMPERIAL AVE STE C, EL CENTRO, CA 92243-1607
(760) 592-4351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015303
CA
Other
Enumeration date
08/28/2020
Last updated
03/04/2021
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