Individual
KELLIE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Mailing address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A148798
CA
Other
Enumeration date
09/04/2013
Last updated
08/08/2022
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