Individual
KELLEY RENAE FEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 W. MAC ARTHUR BLVD, EMERGENCY DEPARTMENT, OAKLAND, CA 94611
(510) 752-7515
Mailing address
280 W. MAC ARTHUR BLVD, EMERGENCY DEPARTMENT, OAKLAND, CA 94611
(510) 752-7515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A94456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447477906
—
CA
Enumeration date
04/19/2007
Last updated
10/07/2009
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