Individual
JUDY ANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1210 E ALMOND AVE, MADERA, CA 93637-5606
(559) 457-6800
(559) 675-5532
Mailing address
1210 E ALMOND AVE, SUITE 108, MADERA, CA 93637-5606
(559) 675-5530
(559) 675-5532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP10946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN467902
—
CA
Enumeration date
04/20/2007
Last updated
07/07/2014
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