Search › California › 103TS0200X
Samuel Kellar
NPI 1730983891 · on the registry since 2025
Practice
- Address
- 1210 E Bellevue Ave
Santa Rosa, CA 95407 - Phone
- (707) 542-3671
- Clinicians at this address
- 2
Additional practice sites
- 2121 Moraga Dr, Santa Rosa, CA
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-01
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