Individual
DR. KELLY LEE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE # A-550, SAN FRANCISCO, CA 94143-2202
(425) 353-2350
Mailing address
400 PARNASSUS AVE. STE 550, SAN FRANCISCO, CA 94143-1222
(415) 353-2350
(415) 353-2337
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A125396
CA
Other
Enumeration date
08/15/2008
Last updated
04/08/2020
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