Susan Elizabeth Kelly
NPI #1235310061 in Modesto, California
Provider Information
- NPI Number
- 1235310061
- Entity Type
- Individual
- Name
- Susan Elizabeth Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 20, 2007
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 1601 YOSEMITE BLVD
- Address 2
- SUITE A
- City
- Modesto
- State
- California
- ZIP Code
- 95354-2800
- Phone
- (209) 341-1824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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