Individual
SEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MISSION BLVD, JACKSON, CA 95642-2564
(209) 223-7500
Mailing address
406 S LEXINGTON DR, FOLSOM, CA 95630-6879
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A141999
CA
Other
Enumeration date
04/07/2014
Last updated
05/27/2021
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