Keely Irvine
Keely Irvine is a Physician Assistant in Upland, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
918 W Foothill Blvd Ste AUpland, CA 91786-3772
Phone: (909) 890-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1831863331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | July 31, 2024 |
| Certification date | July 31, 2024 |
| Mailing address | 11755 Malaga Dr Unit 1178, Rancho Cucamonga, CA 91730-8129 |
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