Kelly Mitchell-Headley

NPI 1760644165 · on the registry since 2008

Practice

Address: 3500 Zanker Rd
San Jose, CA 95134
Phone: (408) 451-6648
Organisation at this address: Agnews Community Clinic
State Of California - Department Of Developmental Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-26

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