Organization
B SUZANNE MCKELL DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE SUZANNE MCKELL DO (PRESIDENT)
(650) 276-0170
Entity
Organization
Contact information
Practice address
248 MAIN ST STE 110, HALF MOON BAY, CA 94019-7120
(650) 276-0170
(650) 440-4887
Mailing address
248 MAIN ST STE 110, HALF MOON BAY, CA 94019-7120
(650) 276-0170
(650) 440-4887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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