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Individual

MRS. KELLIE LYNN LOWRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
55 FRANCISCO ST, SUITE 300, SAN FRANCISCO, CA 94133-2122
(415) 395-9895
(415) 395-9897
Mailing address
55 FRANCISCO ST, SUITE 300, SAN FRANCISCO, CA 94133-2122
(415) 395-9895
(415) 395-9897

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005371
GA
363A00000X
Physician Assistant
MA-053827
PA
363AM0700X
Medical Physician Assistant
Primary
PA22268
CA

Other

Enumeration date
10/23/2008
Last updated
07/17/2014
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