Individual
KELLY P. ASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355
(209) 569-7408
(209) 491-7587
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A93449
CA
207L00000X
Anesthesiology Physician
DR.0052438
CO
Other
Enumeration date
11/01/2006
Last updated
10/09/2019
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