Individual
DONNA LEE KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
SANTA BARBARA COTTAGE HOSPITAL, PUEBLO AT BATH, SANTA BARBARA, CA 93102
(805) 569-7367
(805) 569-8354
Mailing address
PO BOX 25420, VENTURA, CA 93002-2277
(805) 650-5910
(805) 650-5972
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
G762530
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G762530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G762530
—
CA
01
—
1356409379
GROUP NPI
CA
01
—
220025810
RAILROAD MEDICARE
CA
01
—
G762530
MEDICAL BOARD OF CA
CA
01
—
ZZZ42967Z
B;LUE SHIELD
CA
Enumeration date
12/04/2006
Last updated
05/05/2008
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