Individual provider · NPI-1

Brian Hugh Kelly, RCP

Respiratory Therapist, Certified · Oakland, CA

NPI number1447722392
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1447722392
Entity type
Individual (NPI-1)
Name
Brian Hugh Kelly
Credential
RCP
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 17, 2018
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227800000X Respiratory Therapist, Certified2102CAYes

Practice location

3600 Broadway
Oakland, CA 94611-5730

Phone 510-752-5242

Mailing address

3600 Broadway
Oakland, CA 94611-5730

Phone 510-752-5242

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