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

Kelly Mead Gaughen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184988008

Kelly Mead Gaughen, DO is a Student in an Organized Health Care Education/Training Program in Castro Valley, California. Works from 3 locations. Licensed in California, Illinois and Ohio.

Licensed in
CA, IL, OH
In the registry since
2012
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20101 Lake Chabot Rd Fl 3
Castro Valley, CA 94546-5305
Phone: (510) 886-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-3296
  • 919 2nd St Ne, Canton, OH 44704-1132 — (330) 453-3386

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A22401 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence AC3890313-T050 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036.137326 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 34.012728 (OH)

Record details

NPI number1184988008
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2012
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

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