Individual
KELLY AYLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(661) 473-1500
Mailing address
5121 STOCKDALE HWY, BAKERSFIELD, CA 93309-2656
(661) 473-1500
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093540767
TELECARE
CA
Enumeration date
12/29/2025
Last updated
12/29/2025
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