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

Kellie Corcoran, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1760817258

Kellie Corcoran, MD is an Obstetrics/Gynecology in Petaluma, California. Graduated from University of California, Davis School of Medicine in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 Lakeville Hwy
Petaluma, CA 94954-5698
Phone: (707) 765-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A148798 (CA)

Record details

NPI number1760817258
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2013
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address3900 Lakeville Hwy, Petaluma, CA 94954-5698

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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