Individual provider · NPI-1

Kelly L Alexander, MD

Surgery · San Francisco, CA

NPI number1356377212
StatusActive
Last updated in NPPESSep 29, 2020

Details

NPI
1356377212
Entity type
Individual (NPI-1)
Name
Kelly L Alexander
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2006
Certification date
Sep 29, 2020
Last updated
Sep 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryC162278CAYes

Practice location

1199 Bush St Ste 400
San Francisco, CA 94109-5975

Phone 415-379-2890 · Fax 415-349-6025

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in San Francisco, CA