Individual
ELYSE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2854
(805) 948-8300
Mailing address
287 N DOS CAMINOS AVE, VENTURA, CA 93003-1625
(678) 457-3627
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
236389
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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