Individual
KAREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2279 45TH STREET, SACRAMENTO, CA 95817-2229
(916) 734-5959
(916) 703-5265
Mailing address
4501 X ST, SUITE 3016, SACRAMENTO, CA 95817-2229
(916) 734-3771
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-32107
KS
207RH0003X
Hematology & Oncology Physician
Primary
G88845
CA
207RX0202X
Medical Oncology Physician
27577
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275775
—
CO
05
—
209037701
—
KS
Enumeration date
09/20/2006
Last updated
09/05/2019
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