Kellar, Samuel David

Kellar, Samuel David is an individual health care provider with primary practice located at 1210 E Bellevue Ave , Santa Rosa CA 95407-2764. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kellar, Samuel David can be contacted via phone (707) 542-3671.

Contact Information

Primary practice address
1210 E Bellevue Ave Santa Rosa CA 95407-2764
Phone: (707) 542-3671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 230146968 California

Profile Details

NPI number 1730983891
LBN Legal business name Kellar, Samuel David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2025
Last updated Apr 1st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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