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General NPI Number Information
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NPI Number | 1679929871
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Entity Type | Individual
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Provider Name | SEAN CHRISTOPHER KELLY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 260 HOSPITAL DR STE 107
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City | UKIAH
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State | CA
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Zip | 95482-4568
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Country | US
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Telephone | 707-467-5278
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Fax | 707-463-7373
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Provider Business Mailing Address
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Address Line | 260 HOSPITAL DR STE 107
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City | UKIAH
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State | CA
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Zip | 95482-4568
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Country | US
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Telephone | 707-467-5278
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Fax | 707-463-7373
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 289792
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A160318
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R75527
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License Number State | AZ
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