Individual
DR. AMY C. KAELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 STOWRING RD, PETALUMA, CA 94952-1056
(707) 792-6743
(707) 792-6743
Mailing address
205 STOWRING RD, PETALUMA, CA 94952-1056
(707) 792-6743
(707) 792-6743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785410
—
CA
Enumeration date
10/25/2006
Last updated
11/13/2015
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