Individual
KELSEY DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1109 N CALIFORNIA ST, STOCKTON, CA 95202-1537
(209) 451-3977
Mailing address
1109 N CALIFORNIA ST, STOCKTON, CA 95202-1537
(209) 451-3977
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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