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Shawn Kelly Dds Inc
Customized Equipment (DME) in Roseville, California
NPI 1912441064

Shawn Kelly Dds Inc is a Customized Equipment (DME) based in Roseville, CA and is specialized in Customized Equipment. Shawn Kelly Dds Inc practices in Roseville, CA. The NPI Number for Shawn Kelly Dds Inc is 1912441064 and holds a License No. 29984 (California).

The current practice location address for Shawn Kelly Dds Inc is 700 Sunrise Ave, Roseville, CA and can be reached out via phone at 916-773-1122 and via fax at 916-773-3528.

Location: 700 Sunrise Ave, Roseville, CA, 95661-4561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912441064
Provider Name
Shawn Kelly Dds Inc
Credential
Provider Entity Type
Organization
Address
700 Sunrise Ave, Roseville, CA, 95661-4561
Phone Number
916-773-1122
Fax Number
916-773-3528
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Sunrise Ave
City
Roseville
State
California
Zip
95661-4561
Phone Number
916-773-1122
Fax Number
916-773-3528
person
Provider Business Mailing Address Details
Address
700 Sunrise Ave
City
Roseville
State
California
Zip
95661-4561
Phone Number
916-773-1122
Fax Number
916-773-3528
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
29984 (California)
Definition
Definition to come...
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