Individual
KIMBERLY H KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, SAN DIEGO, CA 92134-1098
(619) 532-8769
Mailing address
3774 RUETTE SAN RAPHAEL, SAN DIEGO, CA 92130-8606
(858) 847-3341
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP14810
CA
Other
Enumeration date
02/25/2007
Last updated
05/22/2024
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