Individual provider · NPI-1

Kelly Christine Estrella, ATC

Specialist/Technologist, Athletic Trainer · Stanford, CA

NPI number1497145783
StatusActive
Last updated in NPPESJan 26, 2015

Details

NPI
1497145783
Entity type
Individual (NPI-1)
Name
Kelly Christine Estrella
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2015
Last updated
Jan 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2000018141CAYes

Practice location

641 Campus Dr
Stanford, CA 94305-6201

Phone 650-723-4591

Mailing address

1052 Belder Dr
San Jose, CA 95120-3301

Phone 408-623-2890

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