Individual
MS. JULIE MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
265 POSADA LN, TEMPLETON, CA 93465-4056
(805) 434-0770
(805) 434-5124
Mailing address
265 POSADA LN, TEMPLETON, CA 93465-4056
(805) 434-0770
(805) 434-5124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12552
CA
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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