Kelley Shawn Dolan


Address: 866 3rd St, Santa Rosa, CA 95404-4531
Phone: 7075264932

Kelley Shawn Dolan (NPI# 1144239336, PAC ID# 8325207350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1144239336
PAC ID by PECOS 8325207350
Professional Enrollment ID I20120312000522
Full Name Kelley Shawn Dolan
Address 866 3rd St
Santa Rosa
CA 95404-4531
Phone Number 7075264932
Gender F
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
866 3rd St, Santa Rosa, CA 95404-4531 7075264932

Organization Information

Office Location

Street Address 866 3RD ST
City SANTA ROSA
State CA
Zip 95404-4531

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Colin E Bauer Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Scott A Sewell Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Lesley M Field Physician Assistant Redwood Radiology Group Inc 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Steven L Marlowe Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Kofi E Inkabi Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Michael Hector Caccavale Interventional Radiology Redwood Radiology Group Inc 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Raymond F Conway Iii Interventional Radiology Redwood Radiology Group Inc 3325 Chanate Rd, Santa Rosa, CA 95404-1707
David Claude Sidney Infectious Disease 3325 Chanate Rd, Santa Rosa, CA 95404-1707
Robert M Pousman Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
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Competitor

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City SANTA ROSA
Zip Code 95404
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty SANTA ROSA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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