Individual
KELSEY SCATTERGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 PIER AVE STE B, #125, HERMOSA BEACH, CA 90254-3943
(609) 238-4178
Mailing address
703 PIER AVE STE B, #125, HERMOSA BEACH, CA 90254-3943
(609) 238-4178
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95004400
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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