MRS. Kimberly Ely, PA-C

NPI #1811327810 in Lynwood, California

Provider Information

NPI Number: 1811327810
Entity Type: Individual
Name: MRS. Kimberly Ely, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 13, 2013
Last Updated: Mar 25, 2014

Practice Location

Address: 3630 E IMPERIAL HWY
City: Lynwood
State: California
ZIP Code: 90262-2609
Phone: (310) 900-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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