Individual
KELLY OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1426 BROADWAY, SANTA CRUZ, CA 95062-2511
(831) 429-2229
(831) 429-2228
Mailing address
1426 BROADWAY, SANTA CRUZ, CA 95062-2511
(831) 429-2229
(831) 429-2228
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
10030018
CA
176B00000X
Midwife
Primary
LM260
CA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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