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Individual

DR. KELLY A KYNASTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2549
(530) 225-6000
Mailing address
PO BOX 991844, REDDING, CA 96099-1844
(530) 246-9806
(530) 246-9808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A14750
CA
207R00000X
Internal Medicine Physician
UO2862
FL
207RI0200X
Infectious Disease Physician
Primary
20A14750
CA

Other

Enumeration date
08/04/2011
Last updated
05/05/2025
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