Individual
KELLY ANN BANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4725 1ST ST STE 100, PLEASANTON, CA 94566-7366
(925) 734-3333
(925) 734-9294
Mailing address
4725 1ST ST STE 100, PLEASANTON, CA 94566-7366
(925) 734-3333
(925) 734-9294
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A196876
CA
Other
Enumeration date
03/20/2021
Last updated
12/15/2025
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