Cecilia Kelley
Physician Assistant in Santa Maria, CA. Individual provider (NPI-1).
NPI number1548090640
StatusActive
Last updated in NPPESAug 3, 2024
Details
- NPI
- 1548090640
- Entity type
- Individual (NPI-1)
- Name
- Cecilia Kelley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2024
- Certification date
- Aug 3, 2024
- Last updated
- Aug 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023
Phone 805-621-7714
Mailing address
1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023
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