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Individual

HOLLY C KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 ROWLAND WAY, NOVATO, CA 94945-5008
(415) 866-9145
(415) 366-7535
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
(866) 681-0738
(916) 854-6769

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A72149
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A72149
CA

Other

Enumeration date
09/21/2006
Last updated
12/05/2024
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