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Kellyrae Brown
NPI 1689072316 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1900 Prairie City Rd
Folsom, CA 95630 - Phone
- (916) 370-8154
- Organisation at this address
- Premise Health Of California Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California