Individual
KELLY COLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DEPT OF PEDIATRICS KP WLA, 5971 VENICE BLVD., LOS ANGELES, CA 90034
(323) 857-3907
Mailing address
DEPT OF PEDIATRICS KP WLA, 5971 VENICE BLVD., LOS ANGELES, CA 90034
(310) 825-4128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A160000
CA
Other
Enumeration date
03/22/2017
Last updated
12/14/2021
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