Individual
KELLY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Mailing address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
(415) 668-5955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 27740
CA
Other
Enumeration date
08/19/2008
Last updated
08/01/2016
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