Kelly, Jason F.

Kelly, Jason F. is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kelly, Jason F. can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
275 W Macarthur Blvd Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A61299 California

Profile Details

NPI number 1063590859
LBN Legal business name Kelly, Jason F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 6th, 2021 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1063590859 NPPES
California MEDICAID 00A612990

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