Kelly, Ian Isiah

Kelly, Ian Isiah is an individual health care provider with primary practice located at 4892 San Pablo Dam Rd , El Sobrante CA 94803-3222. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Kelly, Ian Isiah can be contacted via phone (510) 222-3946.

Contact Information

Primary practice address
4892 San Pablo Dam Rd El Sobrante CA 94803-3222
Phone: (510) 222-3946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1922400878
LBN Legal business name Kelly, Ian Isiah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Mar 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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