Individual
IVY KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 DEL VERDE CIR APT 3, SACRAMENTO, CA 95833-3032
(707) 679-8768
Mailing address
7273 14TH AVE, SACRAMENTO, CA 95820-3575
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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