Individual
KIRSTEN ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCGC
Contact information
Practice address
226 AVENIDA DE LA GRULLA APT 4, SAN CLEMENTE, CA 92672-5023
(949) 280-9722
Mailing address
226 AVENIDA DE LA GRULLA APT 4, SAN CLEMENTE, CA 92672-5023
(949) 280-9722
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
CA
Other
Enumeration date
05/14/2019
Last updated
10/31/2023
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