Individual
ASHTON R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
831 E 85TH ST, LOS ANGELES, CA 90001-3628
(562) 212-2441
Mailing address
831 E 85TH ST, LOS ANGELES, CA 90001-3628
(562) 212-2441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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