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Tina Kelley
NPI 1083768881 · on the registry since 2007 · sole proprietor
Practice
- Address
- 13608 Day Rd
Grass Valley, CA 95945 - Phone
- (805) 674-8634
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California