Individual
CYNTHIA ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
(626) 301-8292
Mailing address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
(626) 301-8292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
571637
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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