Organization
HOLLY C KELLY MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY C KELLY MD (PHYSICIAN)
(415) 492-1600
Entity
Organization
Contact information
Practice address
7100 REDWOOD BLVD, SUITE 200, NOVATO, CA 94945-4110
(415) 492-1600
(415) 492-1688
Mailing address
7100 REDWOOD BLVD, SUITE 200, NOVATO, CA 94945-4110
(415) 492-1600
(415) 492-1688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A72149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619076528
SINGLE NPI NUMBER
CA
Enumeration date
10/17/2007
Last updated
02/07/2012
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