Individual
DR. KELLY ANN TOMASULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1523 W AVENUE J STE 7, LANCASTER, CA 93534-2819
(661) 733-7784
Mailing address
1523 W AVENUE J STE 7, LANCASTER, CA 93534-2819
(661) 733-7784
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
DC-31196
CA
111NR0400X
Rehabilitation Chiropractor
Primary
DC-31196
CA
111NS0005X
Sports Physician Chiropractor
DC-31196
CA
111NX0800X
Orthopedic Chiropractor
DC-31196
CA
Other
Enumeration date
06/22/2009
Last updated
02/18/2013
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