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

Kelly Ann Sanderson, CAREGIVER

Individual provider Attendant Care Provider · NPI 1790660819

Kelly Ann Sanderson, CAREGIVER is an Attendant Care Provider in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

3861 Purple Finch Ln
Modesto, CA 95355-8514
Phone: (209) 380-6119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X · Licence 000204580 (CA)

Record details

NPI number1790660819
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAREGIVER
Sole proprietorYes
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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