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

Kellianne Craig

Individual provider Physician Assistant · NPI 1386041960

Kellianne Craig is a Physician Assistant in San Jose, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1691 The Alameda
San Jose, CA 95126-2203
Phone: (408) 287-7526
Fax: (408) 971-6963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 52170 (CA)

Record details

NPI number1386041960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2014
Last updated in NPPESNovember 27, 2015

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