Individual
DR. KELLEY MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5220 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 428-3129
(510) 547-2702
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3129
(510) 547-2702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G81434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G814340
—
CA
05
—
GR0095800
—
CA
Enumeration date
06/16/2006
Last updated
03/01/2013
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