Individual
KELLEEN MICHELLE BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1374 E ALLUVIAL AVE, FRESNO, CA 93720-2608
(559) 981-2600
(559) 981-2610
Mailing address
1374 E ALLUVIAL AVE, FRESNO, CA 93720-2608
(559) 981-2600
(559) 981-2610
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20A9211
CA
Other
Enumeration date
05/18/2007
Last updated
09/18/2013
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