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1154776334
KELLY T BISHOP
BAKERSFIELD, CA
NPI
1154776334
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Former Name
KELLY WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A167542)
Enumeration Date
2016-04-26
Last Update Date
2023-10-31
Business Address
KELLY T BISHOP
2615 CHESTER AVE
BAKERSFIELD, CA 93301-2014
Phone number: 661-241-6700
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Mailing Address
KELLY T BISHOP
2701 CHESTER AVE STE 102
BAKERSFIELD, CA 93301-2016
Phone number:
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