Healthcare Provider Details

I. General information

NPI: 1861139164
Provider Name (Legal Business Name): KELSEY ANNE CARRIGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELSEY ANNE HESSIL MD

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 STOCKTON BLVD
SACRAMENTO CA
95817-2208
US

IV. Provider business mailing address

2516 STOCKTON BLVD
SACRAMENTO CA
95817-2208
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3665
  • Fax:
Mailing address:
  • Phone: 916-734-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA202281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: