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Search › California › 106H00000X

Kelly Hines

NPI 1992904494 · on the registry since 2007

Practice

Address
3800 Coolidge Ave
Oakland, CA 94602
Phone
(510) 482-2244
Fax
(510) 488-1960
Organisation at this address
Stanislaus County
Fred Finch Youth Ctr.
Fred Finch Youth Center
Fred Finch Youth Center
Fred Finch Youth Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
458

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YA0400X
101YP2500X
Licence states on file
CA, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-08-15

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