Organization
KELLEEN BOSCH DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHLEEN HANSEN (ADMINISTRATOR)
(559) 981-2600
Entity
Organization
Contact information
Practice address
1374 E ALLUVIAL AVE, FRESNO, CA 93720-2608
(559) 981-2600
(559) 981-2610
Mailing address
1374 E ALLUVIAL AVE, FRESNO, CA 93720-2608
(559) 981-2600
(559) 981-2610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A9211
CA
Other
Enumeration date
03/28/2008
Last updated
09/18/2013
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