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Kelly Mead Gaughen, DO
Pediatrics Physician in Castro Valley, California
NPI 1184988008

Kelly Mead Gaughen is a Pediatrics Physician based in Los Altos, CA. Kelly Mead Gaughen practices in Castro Valley, CA and has the professional credentials of DO. The NPI Number for Kelly Mead Gaughen is 1184988008 and holds a License No. AC3890313-T050 (California).

The current practice location address for Kelly Mead Gaughen is 20101 Lake Chabot Rd Fl 3, Castro Valley, CA and can be reached out via phone at 510-886-3400.

Location: 20101 Lake Chabot Rd Fl 3, Castro Valley, CA, 94022-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184988008
Provider Name
Kelly Mead Gaughen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
20101 Lake Chabot Rd Fl 3, Castro Valley, CA, 94022-1408
Phone Number
510-886-3400
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270950 05 OH
institution
Provider Business Practice Location Address Details
Address
20101 Lake Chabot Rd Fl 3
City
Castro Valley
State
California
Zip
94546-5305
Phone Number
510-886-3400
Fax Number
person
Provider Business Mailing Address Details
Address
20101 Lake Chabot Rd Fl 3
City
Castro Valley
State
California
Zip
94546-5305
Phone Number
510-886-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
20A22401 (California)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
AC3890313-T050 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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