Individual
CARYN JOY AXTELL-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
13193 CENTRAL AVE, SUITE 220, CHINO, CA 91710
(909) 591-0843
(909) 591-7226
Mailing address
PO BOX 2492, RANCHO CUCAMONGA, CA 91729-2492
(909) 591-0843
(909) 591-7226
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA17278
—
CA
Enumeration date
07/01/2006
Last updated
03/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us