SearchCalifornia374J00000X

Kelly Phipps, CLEC

NPI 1871096552 · on the registry since 2018 · sole proprietor

Practice

Address
818 Greenberry Ln
San Rafael, CA 94903
Phone
(415) 412-5104

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-09

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