Search › California › 101YA0400X
Whitney Kelly, SUDRC 12452
NPI 1376203356 · on the registry since 2021 · sole proprietor
Practice
- Address
- 412b E Tunnell St
Santa Maria, CA 93454 - Phone
- (805) 925-0315
- Organisation at this address
- Good Samaritan Shelter
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-18
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