| James S. Kelly D.m.d. A Profesional Corp | |
|
23450 Ravensbury Ave Los Altos Hills CA 94024-6517 | |
| (650) 380-2616 | |
| Not Available |
| Full Name | James S. Kelly D.m.d. A Profesional Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 23450 Ravensbury Ave, Los Altos Hills, California |
| Authorized Official Name and Position | James Scott Kelly (PRESIDENT) |
| Authorized Official Contact | 6503802616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James S. Kelly D.m.d. A Profesional Corp 23450 Ravensbury Ave Los Altos Hills CA 94024-6517 Ph: () - | James S. Kelly D.m.d. A Profesional Corp 23450 Ravensbury Ave Los Altos Hills CA 94024-6517 Ph: (650) 380-2616 |
| NPI Number | 1275994964 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 03/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275994964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CA 30395 (California) | Primary |
Gazebo Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13521 Wildcrest Dr, Los Altos Hills, CA 94022 Phone: 650-714-2411 |