Shannon Kelly
M.D | Pediatric Hematology-Oncology | Female
Shannon Kelly, M.D is a San Francisco, California based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Shannon Kelly is
270 Masonic Ave, San Francisco, California - 94118-4417. She can be contacted on phone at
504-319-1574.
Shannon Kelly is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Kelly is
1669792107 which was assigned by NPPES on 07 Jun, 2010 and it was last updated on 13 May, 2015.
Shannon Kelly license number is
A100334 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in California.
Shannon Kelly is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Shannon Kelly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Shannon Kelly |
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| Credential : | M.D |
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| Gender : | Female |
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Business Address:
Shannon Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 270 Masonic Ave
San Francisco, CA, 94118-4417
United States |
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| Phone Number : | 504-319-1574 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669792107 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jun, 2010 |
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| Last Updated On : | 13 May, 2015 |
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Medicare Participation:
Shannon Kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7012247505 |
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| Medicare Enrollment ID : | I20190926000248 |
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| Primary Specialty : | Hematology/oncology |
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| Medical School : | Other |
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| Graduation Year : | 2003 |
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| Accepts Medicare? | Yes. Shannon Kelly accepts medicare insurance. |
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Group Practice Association:
Shannon Kelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Kelly is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Ucsf Medical Group Business Services | 3779497870 | 999 | 400 Parnassus Ave
San Francisco, CA - 941432202
Ph: 4154761000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Kelly are as mentioned. Primary taxonomy code for Shannon Kelly, M.D is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207ZB0001X | Pathology Blood Banking & Transfusion Medicine | No | 100334 | CA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | A100334 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3201 Cutter Way
Sacramento, CA, 95818-4437
United States |
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| Phone Number : | 504-319-1574 |
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Business Location:
Patients can refer following map for directions to
Shannon Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.