Individual
ERIN KEDDINGTON WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Mailing address
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-8131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A117192
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
15838
NV
208M00000X
Hospitalist Physician
A117192
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2009
Last updated
05/22/2015
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