Joshua Kelly

NPI #1023806445 in Tarzana, California

Provider Information

NPI Number: 1023806445
Entity Type: Individual
Name: Joshua Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 26, 2025
Last Updated: Apr 26, 2025

Practice Location

Address: 18646 OXNARD ST
City: Tarzana
State: California
ZIP Code: 91356-1411
Phone: (859) 779-2349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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