Kelly Prothero, LCSW

NPI 1225112055 · on the registry since 2006 · sole proprietor

Practice

Address: 100 Tamal Plz
Suite 195
Corte Madera, CA 94925
Phone: (415) 497-8322
Organisation at this address: Corte Madera Rehab Llc
Marin Advanced Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-05-31

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