Kimberly Ann Kelly, ND, RD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND1328 Issued in CA

Practice address

8920 Wilshire Blvd Ste 610
Beverly Hills, CA 90211-2006

Phone

(424) 389-9451

Fax

(833) 551-4828

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1144600115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY # 669",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "747-263-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 610",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112006",
            "telephone_number": "424-389-9451",
            "fax_number": "833-551-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "ND, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1106458",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith L Klein MD Facp Fasn Inc
• Keivan Golchini, MD Inc.
• Randall S. Keller, D.D.S.
• David M Kelley, M.D.
• Kathleen M Kelly, MA, CCC-SLP
• Joseph Naylor Kenan, M.D.
• Violetta Kenigsberg, D.D.S
• Kenneth Jacobs DDS
• Brooke A Kennon, FNP
• Kennth J. Jacobs, DDS, Inc., and K. J. Liang, DDS, Inc., a California

• Naturopath in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.