MS. Kelly Cicotte, PA-C
NPI #1891382719 in El Segundo, California
Provider Information
- NPI Number
- 1891382719
- Entity Type
- Individual
- Name
- MS. Kelly Cicotte, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 26, 2020
- Last Updated
- Apr 12, 2022
Practice Location
- Address
- 483 N AVIATION BLVD
- City
- El Segundo
- State
- California
- ZIP Code
- 90245-2808
- Phone
- (310) 653-2873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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