Mattison-Kelly, Michelle F.

Mattison-Kelly, Michelle F. is an individual health care provider with primary practice located at 6555 Coyle Ave , Carmichael CA 95608-0302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mattison-Kelly, Michelle F. can be contacted via phone (916) 536-3520.

Contact Information

Primary practice address
6555 Coyle Ave Carmichael CA 95608-0302
Phone: (916) 536-3520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G75193 California

Profile Details

NPI number 1215048681
LBN Legal business name Mattison-Kelly, Michelle F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215048681 NPPES
California MEDICAID 00G751930
California Other 1091569
California Other 000810807764
California Other 1969350
California Other 28799
California Other 90079685
California Other MCMG116700
California Other 7442156
California Other G75193
California Other 1140767
California Other 053101
California Other 1055017

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