Search › California › 1041C0700X
Kelly Corley
NPI 1265988893 · on the registry since 2016 · sole proprietor
Practice
- Address
- 204 G St
204 G St
Petaluma, CA 94954 - Phone
- (707) 775-8232
- Clinicians at this address
- 6
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
- 2016-09-01
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