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Organization

SUTTER BAY MEDICAL FOUNDATION

Active
Other names
Sutter Pacific Medical Foundation
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN KELLER (SR. DIRECTOR, PLANNING AND ALIGNMEN)
(650) 934-7000
Entity
Organization

Contact information

Practice address
3006 S MARYLAND PKWY STE 470, LAS VEGAS, NV 89109-2235
(702) 796-9111
(702) 792-9112
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950

Taxonomy

Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
06/29/2016
Last updated
03/18/2026
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