Individual
DR. KIM DARRELL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, MPH
Contact information
Practice address
1363 BURGUNDY RD, ENCINITAS, CA 92024-1847
(760) 533-2883
(866) 353-3603
Mailing address
1363 BURGUNDY RD, ENCINITAS, CA 92024-1847
(760) 533-2883
(866) 353-3603
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-130
CA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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