Individual
KATHLEEN ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
DAVID GEFFEN MEDICAL CTR UCLA 10833 LE CONTE AVE, MAILROOM A3-215 CHS, MAILCODE 173216, LOS ANGELES, CA 90095-1732
(310) 206-5562
(310) 794-4863
Mailing address
DAVID GEFFEN MEDICAL CTR UCLA 10833 LE CONTE AVE, MAILROOM A3-215 CHS, MAILCODE 173216, LOS ANGELES, CA 90095-1732
(310) 206-5562
(310) 794-4863
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
DRH01006488
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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