Individual
DR. KELLY DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
300 PASTEUR DR, LANE 235, STANFORD, CA 94305-2200
(650) 723-5252
Mailing address
300 PASTEUR DR, LANE 235, STANFORD, CA 94305-2200
(650) 723-5252
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
302977
NY
Other
Enumeration date
04/27/2015
Last updated
12/01/2021
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