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NPI Code Detail

MEDICARE: KELLY T. HOOD MD

MEDICARE:   KELLY T. HOOD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianC50468CA

General Provider Information

NPI Number : 1104865286
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY T. HOOD MD
Provider Business Mailing Address
First Line : 3466 MT DIABLO BLVD STE 104
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-7106
Country : US
Telephone Number : 925-283-5500
Fax Number : 925-283-3703
Provider Business Practice Location Address
First Line : 3466 MT DIABLO BLVD STE 104
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-7106
Country : US
Telephone Number : 925-283-5500
Fax Number : 925-283-3703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 06/16/2026

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Directions to “ KELLY T. HOOD MD” Practice Location

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