DR. KELLY DESELMS TRAVER-SELLING


Address: 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351
Phone: 6502530890

DR. KELLY DESELMS TRAVER-SELLING (NPI# 1497974125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497974125
Entity Type Individual
Full Name DR. KELLY DESELMS TRAVER-SELLING
Other Name DR. KELLY DESELMS TRAVER
Credential MD
Practice Address 1600 Amphitheatre Pkwy
Mountain View
CA 94043-1351
Mailing Address 340 Willowbrook Dr
Portola Valley
CA 94028-7842
Practice Telephone 6502530890
Mailing Telephone 6508518758
Mailing Fax Number 6508512258
Enumeration Date 2007-04-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G69021 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 1600 AMPHITHEATRE PKWY
City MOUNTAIN VIEW
State CA
Zip Code 94043-1351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407888944 Modern Weng Internal Medicine 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2006-07-07
1114449972 One Medical Group, Inc. Internal Medicine 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2017-07-13
1568727808 Debra Ming Sun Nurse Practitioner 1600 Amphitheatre Pkwy, B-40, Mountain View, CA 94043-1351 2012-07-12
1063789782 Community Acupuncture Inc. Acupuncturist 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2011-11-23
1841576535 Google Wellness Center, B40 Non-Pharmacy Dispensing Site 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2011-10-26
1083999270 Ford Brewer, Md, Inc General Practice 1600 Amphitheatre Pkwy, Bldg 40, Mountain View, CA 94043-1351 2011-10-19
1235445495 Donna Marchetti Physician Assistant 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2010-08-26
1518270958 Jason Dean Hipp Pathology 1600 Amphitheatre Pkwy, Mountain View, CA 94043-1351 2010-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609498211 Sally A Clark Marriage & Family Therapist 2462 Alvin St, Mountain View, CA 94043 2020-05-18
1114587953 Jared Kyle Leaderman Counselor 421 N Shoreline Blvd, Suite 4, Mountain View, CA 94043 2019-06-14
1841779774 Gilbert Gallahar Technician 312 Wescoat Ct, Mountain View, CA 94043 2018-08-10
1871085670 Randeep Dhillon Dentist 65 Evandale Ave Apt B, Mountain View, CA 94043 2018-06-06
1013436724 Allison N Smith Pharmacist 555 W. Middlefield Rd., D307, Mountain View, CA 94043 2017-09-13
1205350071 Jacob Allan Hall Audiologist 295 Bernardo Ave, Mountain View, CA 94043 2017-08-02
1306144431 Costco Wholesale Pharmacist 1000 N. Rengstorff Ave., Mt. View, CA 94043 2011-03-15
1871803155 Ashley D Moffett Marriage & Family Therapist 2680 Bayshore Parkway, Suite 106, Mountain View, CA 94043 2010-10-20
1720205396 Dalia Shiran Psychologist 2672 East Bayshore Pkwy, Suite 602, Mountain View, CA 94043 2007-04-18
1811033533 Paul Gartlan Registered Nurse 501 Whisman Rd., Mountain View, CA 94043 2007-01-29
Find all providers in zip 94043

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518330539 Healthtap Medical Group, P.C. General Practice 2465 Latham St Fl 3, Mountain View, CA 94040-4792 2015-11-13
1548683576 Ford Brewer, M.d., Inc General Practice 1310 Shorebird Way, Mountain View, CA 94043-1383 2014-01-27
1033551783 Michael Kitt General Practice 3372 Shady Spring Ln, Mountain View, CA 94040-4581 2013-07-23
1770714750 Karen Krieger Bagwe General Practice 546 Vernon Ave, Mountain View, CA 94043-1571 2009-08-07
1114181146 Boyouk A Farvar General Practice 1347 Cuernavaca Circulo, Mountain View, CA 94040 2008-07-18
1437573847 Chs Health Services General Practice 1310 Shorebird Way, Mountain View, CA 94043-1383 2014-02-06
1376800904 Arun Villivalam, Md, Inc General Practice 468 Ellis St, Mountain View, CA 94043-2204 2012-04-20
1336419175 Arun Villivalam, Md., Inc. General Practice 1950 Charleston Rd, Mountain View, CA 94043-1218 2012-01-11
1356628390 Ford Brewer, Md, Inc General Practice 1010 Joaquin Rd, Mountain View, CA 94043-1242 2011-11-04
1346525508 Ford Brewer, Md, Inc General Practice 1950 Charleston Rd, Mountain View, CA 94043-1218 2011-10-19
Find all providers in MOUNTAIN VIEW

Competitor

Search similar providers

City MOUNTAIN VIEW
Zip Code 94043

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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