Search › California › 101YM0800X
Kelly Davis
NPI 1093143554 · on the registry since 2013
Practice
- Address
- 900 5th Ave
Suite 150
San Rafael, CA 94901 - Phone
- (415) 457-6964
- Organisation at this address
- Buckelew Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 43
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 106H00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-10
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