Individual
DR. JAMES WALTER KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13416 HAWTHORNE BLVD, SUITE B, HAWTHORNE, CA 90250
(310) 978-3937
(310) 978-1895
Mailing address
13624 HAWTHORNE BLVD, STE 201, HAWTHORNE, CA 90250-5818
(310) 978-3937
(310) 978-1895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4932T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0049320
—
CA
Enumeration date
10/27/2006
Last updated
11/08/2016
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