Kelly Pen
Kelly Pen is a Counselor in Fairfield, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
801 Empire StFairfield, CA 94533
Phone: (707) 425-5744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1588189245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 3, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 801 Empire St, Fairfield, CA 94533-5702 |
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