Miller, Kelly Renee

Miller, Kelly Renee is an individual health care provider with primary practice located at 3200 Kearney St , Fremont CA 94538-2299. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miller, Kelly Renee can be contacted via phone (510) 490-1222.

Contact Information

Primary practice address
3200 Kearney St Fremont CA 94538-2299
Phone: (510) 490-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G71568 California

Profile Details

NPI number 1841286705
LBN Legal business name Miller, Kelly Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Dec 16th, 2011 - about 13 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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