Individual
BRENNA JEAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 W HERNDON AVE STE 300, FRESNO, CA 93711-0552
(559) 256-2000
Mailing address
6086 N PALM AVE APT 10, FRESNO, CA 93704-1600
(559) 970-8651
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
06/24/2025
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