Ian Isiah Kelly
NPI #1922400878 in El Sobrante, California
Provider Information
- NPI Number
- 1922400878
- Entity Type
- Individual
- Name
- Ian Isiah Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Sep 23, 2014
- Last Updated
- Mar 1, 2024
Practice Location
- Address
- 4892 SAN PABLO DAM RD
- City
- El Sobrante
- State
- California
- ZIP Code
- 94803-3222
- Phone
- (510) 222-3946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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