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Contact Information

BERNADETTE A KELLY, MD
251 TURNPIKE DR.
FOLSOM, CA95630
 Phone: 916-989-5930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BERNADETTE A KELLY · (Female)

NPI # 1407831530
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2005
Last updated 04/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 207Q00000X
  • CA Medicaid 00A055070
  • CA Other A055070 MED. LICENSE
Hospital affiliation(s)
  • UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER - (Acute Care)
    2315 STOCKTON BOULEVARD
    SACRAMENTO, CA 95817
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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