Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley L King, PA

Individual provider Physician Assistant · NPI 1760452130

Kelley L King, PA is a Physician Assistant in Sacramento, California. Qualified in 2003, 23 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
23
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4401 Bradshaw Rd
Sacramento, CA 95827-3835
Phone: (916) 732-5243
Fax: (916) 366-3206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2020 Sutter Pl Ste 101, Davis, CA 95616-6217 — (530) 750-5830
  • 770 Mason St, Vacaville, CA 95688-4646 — (707) 454-5800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760452130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 26, 2006
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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