Miss. Kelly Mickey Sisowath
Miss. Kelly Mickey Sisowath is a Rehabilitation Practitioner in Clovis, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
90 W Ashlan Ave Ste 101Clovis, CA 93612-5627
Phone: (559) 326-5696
Fax: (559) 326-5699
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X (CA) |
Record details
| NPI number | 1568076651 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 4, 2020 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
Other providers in Clovis
-
Aidee Garcia
1797 San Jose Ave, Clovis, CA 93611-3078 · (559) 790-2271
-
Tyler Scott Jones
90 W Ashlan Ave Ste 100, Clovis, CA 93612-5627 · (559) 473-1770
-
Marcos Martinez
90 W Ashlan Ave Ste 100, Clovis, CA 93612-5627 · (559) 473-1770
-
Rose Scott
3675 Richmond Ave, Clovis, CA 93619 · (559) 473-7208