KELLY POWELL

GRASS VALLEY, CA
NPI1821442666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: CA  18870)
Enumeration Date2016-04-18
Last Update Date2025-10-01
Business Address
Dr. KELLY POWELL DO
900 E MAIN ST STE 106
GRASS VALLEY, CA 95945-5853
Phone number: 747-500-4253
Mailing Address
Dr. KELLY POWELL DO
900 E MAIN ST STE 106
GRASS VALLEY, CA 95945-5853
Phone number: 916-234-0024