Kelly, Kristen Marie
Kelly, Kristen Marie is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kelly, Kristen Marie can be contacted via phone (714) 456-8068.Contact Information
Primary practice address
101 The City Dr S
Orange CA 92868-3201
Phone: (714) 456-8068
Fax: (714) 456-3765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G80021 | California |
Profile Details
NPI number | 1265448609 |
---|---|
LBN Legal business name | Kelly, Kristen Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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