Individual
KELLY A MATHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5000
Mailing address
231 ALBERT SABIN WAY, MSB 1654, CINCINNATI, OH 45267-2827
(513) 558-8114
(513) 558-5791
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
57.022847
OH
207P00000X
Emergency Medicine Physician
Primary
A148125
CA
Other
Enumeration date
03/27/2013
Last updated
01/11/2022
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