Individual
PAUL BRENDAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 BROADWAY # 1100, SACRAMENTO, CA 95820-1527
(916) 215-3402
(916) 966-3100
Mailing address
4600 BROADWAY # 1100, SACRAMENTO, CA 95820-1527
(916) 215-3402
(916) 966-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G7756
CA
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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