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General NPI Number Information
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NPI Number | 1578977336
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Entity Type | Individual
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Provider Name | KELLEY BRINSKY DO
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Gender | Female
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 400 SEAPORT CT STE 203
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2767
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Country | US
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Telephone | 650-267-2098
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Fax | 650-509-3228
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Provider Business Mailing Address
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Address Line | 3400 DATA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 5101021134
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101021134
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A18772
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License Number State | CA
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