institution
Kelly L Mckerahan D O A Professional Medical Corporation
Primary Care Clinic/Center in Murrieta, California
NPI 1508110503

Kelly L Mckerahan D O A Professional Medical Corporation is a Primary Care Clinic/Center based in Murrieta, CA and is specialized in Primary Care. Kelly L Mckerahan D O A Professional Medical Corporation practices in Murrieta, CA. The NPI Number for Kelly L Mckerahan D O A Professional Medical Corporation is 1508110503 and holds a License No. 20A6780 (California).

The current practice location address for Kelly L Mckerahan D O A Professional Medical Corporation is 25095 Jefferson Ave Ste 202, Murrieta, CA and can be reached out via phone at 951-696-9566 and via fax at 951-696-9536.

Location: 25095 Jefferson Ave Ste 202, Murrieta, CA, 92562-9107
institution
Provider Profile Details
NPI Number
1508110503
Provider Name
Kelly L Mckerahan D O A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
25095 Jefferson Ave Ste 202, Murrieta, CA, 92562-9107
Phone Number
951-696-9566
Fax Number
951-696-9536
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GQ212A 01 PTAN
institution
Provider Business Practice Location Address Details
Address
25095 Jefferson Ave Ste 202
City
State
Zip
92562-9107
Phone Number
951-696-9566
Fax Number
951-696-9536
person
Provider Business Mailing Address Details
Address
25095 Jefferson Ave Ste 202
City
State
Zip
92562-9107
Phone Number
951-696-9566
Fax Number
951-696-9536
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
20A6780 (California)
Definition
Definition to come...
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