Pfeifer, Kelly

Pfeifer, Kelly is an individual health care provider with primary practice located at 1301 Southpoint Blvd , Petaluma CA 94954-6858. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pfeifer, Kelly can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
1301 Southpoint Blvd Petaluma CA 94954-6858
Phone: (707) 559-7500
Fax: (707) 559-7570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A66577 California

Profile Details

NPI number 1083606776
LBN Legal business name Pfeifer, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 17th, 2007 - about 17 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 1083606776 NPPES
California MEDICAID HAP70696F
California Other ZZZ18742Z
California MEDICAID FHC70696F
California Other A66577
California MEDICAID BCP70696F

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