| Kelly Ahmed M.d., Inc. | |
|
14285 Amargosa Rd Suite 100 Victorville CA 92392-9707 | |
| (760) 955-7095 | |
| (760) 951-1076 |
| Full Name | Kelly Ahmed M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14285 Amargosa Rd, Victorville, California |
| Authorized Official Name and Position | Kelly Jean Ahmed (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 7609557095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ahmed M.d., Inc. 14285 Amargosa Rd Suite 100 Victorville CA 92392-9707 Ph: (760) 955-7095 | Kelly Ahmed M.d., Inc. 14285 Amargosa Rd Suite 100 Victorville CA 92392-9707 Ph: (760) 955-7095 |
| NPI Number | 1427484658 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427484658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A51407 (California) | Primary |
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