Most Relevant Information
Provider Data
| NPI Number: | 1003496977 |
| Provider Name: | KELLY TRAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2021 |
| Last Updated: | 06/12/2023 |
Provider Practice Location
1555 PARKMOOR AVE
SAN JOSE
CA
951282407
Practice Location Phone/Fax
| Phone: | 4082820402 |
| Fax: | 4082820410 |
Provider Mailing Location
1555 PARKMOOR AVE
SAN JOSE
CA
951282407
Provider Mailing Phone/Fax
| Phone: | 4082820402 |
| Fax: | 4082820410 |