MEDICARE: STEPHANIE LYN KELLY

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
1	106H00000X	Marriage & Family Therapist	LMFT102784	CA

General Provider Information

NPI Number	:	1780012484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LYN KELLY

Provider Business Mailing Address
First Line	:	4264 MABEL AVE
Second Line	:
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-3547
Country	:	US
Telephone Number	:	925-399-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	2258 CAMINO RAMON
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1353
Country	:	US
Telephone Number	:	925-399-8075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	04/29/2019

Similar Medicare Providers

1245626860 — OMOTOKE ROJAS
Practice Location Address:

2250 CAMINO RAMON
SAN RAMON, CA
94583-1353

Practice Phone: 925-217-2600
Practice Fax:

1235105446 — WILLIAM WEI-MING TING M.D.
Practice Location Address:

2262 CAMINO RAMON
SAN RAMON, CA
94583-1353

Practice Phone: 925-328-0255
Practice Fax: 925-328-0257

1619985892 — DR. RASHPAL S. DEOL DDS
Practice Location Address:

2276 CAMINO RAMON STE 150
SAN RAMON, CA
94583-1353

Practice Phone: 925-735-6190
Practice Fax: 925-735-6198

1891082483 — ANNE ELIZABETH CALLAHAN PA-C
Practice Location Address:

2262 CAMINO RAMON , SUITE 200
SAN RAMON, CA
94583-1353

Practice Phone: 925-328-0522
Practice Fax: 925-328-0257

1043613862 — CALIFORNIA DERMATOLOGY CARE
Practice Location Address:

2262 CAMINO RAMON
SAN RAMON, CA
94583-1353

Practice Phone: 925-328-0255
Practice Fax: 925-328-0257

1831575430 — SAVITA KULKARNI D.D.S.
Practice Location Address:

2276 CAMINO RAMON STE 150
SAN RAMON, CA
94583-1353

Practice Phone: 925-735-6190
Practice Fax:

Directions to “ STEPHANIE LYN KELLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.