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Individual

KAREN ELIZABETH KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
44651 VILLAGE CT STE 120, PALM DESERT, CA 92260-3823
(760) 501-6655
(760) 262-3773
Mailing address
44651 VILLAGE CT STE 120, PALM DESERT, CA 92260-3823
(760) 501-6655
(760) 262-3773

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004346
IA
225100000X
Physical Therapist
070-017110
IL
225100000X
Physical Therapist
1194160
TX
225100000X
Physical Therapist
PTH5857
AL
2251X0800X
Orthopedic Physical Therapist
Primary
39545
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004346
IOWA PHYSICAL THERAPY LICENSE
IA
01
070-017110
ILLINOIS PT LICENSE NUMBER
IL
01
1194160
TEXAS PHYSICAL THERAPY LICENSE
TX
01
39545
CA LICENSE
CA
01
PTH5857
ALABAMA PHYSICAL THERAPY LICENSE
AL
Enumeration date
01/16/2009
Last updated
04/21/2026
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