Individual
DR. KELLEN SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
NE CORNER OF SAN CARLOS AND OCEAN, CARMEL BY THE SEA, CA 93921
(831) 583-8815
(831) 855-1183
Mailing address
1004 RIVER RD, SALINAS, CA 93908-8714
(831) 594-7258
(831) 855-1183
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1123
CA
Other
Enumeration date
11/17/2019
Last updated
08/29/2024
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