Individual
ASHLEY KELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5331 MARK CT, AGOURA HILLS, CA 91301-5201
(818) 706-8078
Mailing address
5331 MARK CT, AGOURA HILLS, CA 91301-5201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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