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Search › California › 101YS0200X

Kelley Holman

NPI 1669357380 · on the registry since 2025

Practice

Address
6991 Balboa Ave
San Diego, CA 92111
Phone
(616) 617-1757
Organisation at this address
County Of San Diego
Kavod Charter School
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-11

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