Holly C Kelly Md Inc.

LBN: Holly C Kelly Md Inc.
Holly C Kelly Md Inc. is an health care organization with primary practice located at 7100 Redwood Blvd Suite 200, Novato CA 94945-4110. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Holly C Kelly Md Inc. can be contacted via phone (415) 492-1600, or through Kelly, Holly C via phone (415) 492-1600.

Contact Information

Primary practice address
7100 Redwood Blvd Suite 200 Novato CA 94945-4110
Fax: (415) 492-1688
Website:
Authorized official contact:
Name: Kelly, Holly C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A72149 California

Profile Details

NPI number 1487843207
LBN Legal business name Holly C Kelly Md Inc.
DBA Doing business as
Authorized official Kelly, Holly C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Feb 7th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487843207 NPPES
California Other 1619076528 SINGLE NPI NUMBER

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