Individual
BRIAN EDWARD KELSEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
1534 ALLARD AVE, EUREKA, CA 95503-5721
(707) 498-8649
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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