Individual
MS. KATHY KOLDEN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTC
Contact information
Practice address
4951 ARROYO RD, LIVERMORE, CA 94550-9650
(925) 373-4700
(925) 449-6415
Mailing address
1796 ORO DR, FREMONT, CA 94539-3687
(925) 373-4700
(925) 449-6415
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
2580-T
CA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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