Kelly Her, A.c.
Family Medicine in Ventura, CA. Individual provider (NPI-1).
NPI number1114293255
StatusActive
Last updated in NPPESMar 22, 2012
Details
- NPI
- 1114293255
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly Her
- Credential
- A.c.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2012
- Last updated
- Mar 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 11990 | CA | Yes |
Practice location
970 Petit Ave Ste DVentura, CA 93004-2215
Phone 805-302-0266
Mailing address
1224 Bluebonnet AveVentura, CA 93004-3566
Phone 805-302-0266
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