Individual
DR. DOUGLAS A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4229
(707) 269-3849
Mailing address
154 APPLE VALLEY LN, EUREKA, CA 95503-9546
(918) 269-6936
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
19729
OK
2085R0001X
Radiation Oncology Physician
Primary
C193918
CA
2085R0001X
Radiation Oncology Physician
DR0062949
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175543
—
CO
Enumeration date
03/28/2006
Last updated
08/11/2025
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