Doctor Name: | KELLY FRANCIS |
NPI Number: | 1497719504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A71155 |
Business Practice Address: | 18111 Brookhurst St Suite 6400 Fountain Valley, CA - 927086728 |
Business Phone Number: | 7143507258 |
Business Fax Number: | 7149631234 |
Mailing Address: | 18111 Brookhurst St, Suite 6400 FOUNTAIN VALLEY |
State: | CA |
Postal Code: | 927086728 |
Phone Number: | 7143507258 |
Fax Number: | 7149631234 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A71155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |